The CFR does not specify how quickly Level I's must be completed, and with good reason: There is no baseline against which to establish timing requirements.
All individuals applying to a Medicaid-certified nursing facility (NF) must be screened for both mental illness and intellectual disability.
Federal regulations governing PASRR do not specify restrictions on who can conduct Level I screens.
The enclosed 2015 report (below) updates the 2014 Review of State Preadmission Screening and Resident Review (PASRR) Policies and Procedures. The report was prepared by the PA
Richard Sanderson, a PTAC consultant, reviews a variety of tools to detect common mental health and substance use disorders, most of which are in the public domain. Sanderson categorizes the tools according to how long they take to administer, along with their strengths and weaknesses.
The February 2015 PASRR webinar "West Virginia's Level I Journey: A Systems Approach" occured on Tuesday, January 13th, at 1 PM EST (10 AM PST). The webinar was presented by Richard Workman.
The October 2014 PASRR webinar "2014 PASRR National Report: Level I and MDS" occurred on Tuesday, October 14th, at 1 PM EST (10 AM PST). The webinar was presented by Ed Kako of PTAC and the Technical Assistance Collaborative.
The enclosed 2014 report (below) updates the 2013 Review of State Preadmission Screening and Resident Review (PASRR) Policies and Procedures.
A PASRR Level I screen must be completed for all applicants to a Medicaid-certified nursing facility, regardless of payer. A Level I screen must be completed before a resident can be admitted into a nursing facility.
The CFR does not prescribe a particular method of conducting Level I evaluations, leaving states open to their own interpretations. In general, the Level I evaluation is based on pre-existing information, such as prior mental health diagnoses, and information gathered by the screener.
The January 2014 PASRR webinar "Level I PASRR Screens: Best Practices for a Robust System" occured on Tuesday, January 14th, at 1 PM EST (10 AM PST). You can download a PDF version of the presentation slides at the bottom of this webpage.
On February 12th, 2013 Shanley from Ascend Management Innovations and the National Association of PASRR Professionals (NAPP) reviewed many aspects of PASRR Level I screening programs, from federal requirements and expectations to forms, program infrastructure considerations, and common conundrums.
This report (below) presents the first systematic, empirical effort to document the design of PASRR systems in all States and the District of Columbia.
June 2012 PASRR Webinar You can download a PDF version of the presentation slides at the bottom of this webpage.
There are no federal requirements regarding who must request Level I screens, but all individuals who apply to reside in a Medicaid-certified nursing facility, regardless of payer, are required to receive a Level I screen to identify individuals with a MI or ID.
February 2012 PASRR Webinar You can download a PDF version of the presentation slides at the bottom of this webpage.