The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

Resources

FAQ
Timing, Level I
Jul 7, 2018
According to  CFR 42-§483.102, a PASRR Level I screen must be completed for all applicants to a Medicaid-certified nursing facility, regardless of payer.
FAQ
Level I, Personnel
Jul 7, 2018
There are no federal requirements regarding who must request Level I screens, but CFR 42-§483.102 is clear that all individuals who apply to reside in a Medicaid-cer
FAQ
Timing, Level II
Jul 7, 2018
Pre-Admission General Rule.  Under 42 CFR §483.102 (a), the PASRR process applies to all Medicaid-certified nursing facility (NF)
FAQ
Change in Condition, Level II
Jul 7, 2018
There is no federal requirement that a Level II evaluation be completed prior to the individual returning to the nursing facility (NF).
FAQ
Record Keeping, Timing
Jul 7, 2018
For a variety of reasons, including the availability of evaluators, it may not always be possible to perform a complete psychiatric evaluation on an individual before they are admitted to a nursing facility (NF).
FAQ
Level II, Federal Regulations, Intellectual Disability
Jun 2, 2018
According to 42 CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
FAQ
Level II
Apr 27, 2018
There is a common misconception about this. The simple answer is "no" -- a test of intellectual functioning (IQ test) is not required by PASRR regulations.
FAQ
Level I
Apr 10, 2018
Regardless of their known diagnoses, all individuals applying to a Medicaid-certified nursing facility (NF) must undergo a Level I screen to determine if the individual possibly has a condition meeting PASRR’s definition of  mental illness, intellectual disability or a related condition.  A person...
FAQ
Level I, Level II, Timing
Mar 8, 2018
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.
FAQ
Level I, Level II
Mar 8, 2018
All individuals applying to a Medicaid-certified nursing facility (NF) must be screened for both mental illness and intellectual disability.
FAQ
Resident Review
Mar 8, 2018
Originally, Resident Reviews—Level II post-admission evaluations—had to be conducted annually; hence, the original name of the program was Preadmission Screening and Annual Resident Review, or PASARR, which is the title that is still in the rule.
FAQ
MDS
Mar 2, 2018
While MDS captures information about a person (medical, functional, cognitive, and social) at a moment in time, it does not evaluate individuals for the presence of disabilities defined for the purposes of PASRR.
FAQ
Level II, Facilities
Jan 27, 2018
No, a nursing facility cannot perform a Level II pre-admission evaluation or resident review. 42 CFR §483.106(e)(iii)  prohibits nursing facilities (or any entity th
FAQ
Change in Condition, MDS
Jan 26, 2018
Yes, the CMS Long-Term Care Facility Resident Assessment Instrument (RAI) User’s Manual requires the NF to provide notification to the State-designated mental health (MH) or intellectual disability (ID) authority promptly
FAQ
Level II, Personnel
Jan 26, 2018
Level II evaluations for individuals with intellectual disabilities and/or related conditions:
FAQ
Level I, Personnel
Jan 26, 2018
Federal regulations governing PASRR do not specify restrictions on who can conduct Level I screens. 
FAQ
MDS
Dec 8, 2017
PASRR is guided by federal regulations that require: (1) all individuals being considered for admission to a Medicaid-certified nursing facility (NF) be screened prior to admissi
FAQ
Change in Condition
Dec 8, 2017
Per Section 1919(e)(7)(B)(iii) of the Social Security Act,  Resident Reviews are required for NF residents experiencing a “significant change in condition.” (Note that this provision replaced the requirement that PASRR Resident Reviews must b
FAQ
Resident Review
Dec 7, 2017
Originally when the PASRR regulations were completed in 1992, Resident Reviews were required annually.
FAQ
Level II, Laws and Rules
Jul 26, 2017
Since the ICD-10-CM coding went into effect on October 1, 2015, some State PASRR programs have reported an increase in PASRR volume, particularly in referrals for Level II Resident Reviews. The increase is largely attributed to the computer algorithm that converted ICD-9 codes to ICD-10 codes.

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