Questions about your child’s development? We offer FUN, FREE, and CONFIDENTIAL screenings!


Individuals in all stages of life deserve support. People living in nursing facilities are no exception. Quality care must address more than just physical needs for a quality of life.

What is OBRA?

The Omnibus Budget Reconciliation Act (OBRA) of 1987 is a law that was passed by Congress to ensure that people with intellectual disabilities who reside in certified nursing facilities receive the attention they need.

The Child Development Center’s expert and caring staff provides OBRA services at no cost to persons in certified nursing facilities who have intellectual disabilities and related conditions. We will collaborate with your family and the nursing facility to provide limited case management, annual resident reviews and modest funding for specialized services.

Senior man's hands resting on cane

How can I get OBRA services?

All people seeking placement in a nursing facility are now required to be screened to find out whether they have, or are suspected of having, a history of developmental disability. This is the Level I screen.

To confirm diagnosis or suspicion of an intellectual disability or related conditions, a more comprehensive Level II evaluation is completed by the Child Development Center. This is called a PASARR evaluation, which stands for Pre-Admission Screening and Annual Resident Review.

For more information about OBRA or to ask about a PASARR evaluation, please call us at one of our two locations in western Montana and ask for the OBRA coordinator.