May’s issue of Caring for the Ages had the attached article written by Robert C. Accetto, RPh, BCGP, FASCP. The Centers for Medicare & Medicaid Services (CMS) has revised guidance to surveyors (Appendix PP, State Operations Manual) for the use of Psychotropic Medications that went live in late April 2025. This article updates us on these revisions and provides explicit guidance for adhering to the revised informed consent process and the necessary documentation that it has occurred. All boxed (“black box”) warnings must be discussed and then documented in the prescriber’s notes. 

In California, we will have an added expectation, like Wisconsin, that written patient information is provided at the time of discussing proposed psychotropic medication. These documents are still being developed by CDPH (California Department of Public Health). Some CALTCM leaders have been working with CDPH on their development. We do not have a date yet for their release but will have more to say when that occurs.

Link to Caring article: https://www.caringfortheages.com/article/S1526-4114(25)00062-9/fulltext