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

What can be done to enhance meaningful interstate PASRR coordination?

The key to meaningful interstate coordination is to share Level II evaluation facts rather than Level II evaluation conclusions or outcomes. Evaluation facts are descriptions of medical, cognitive, mental, and behavioral health history, status, treatment response history and treatment needs.   Evaluation outcomes are decisions based on those facts. This includes decisions such as: “approved,”  “denied,” or decisions for specific service recommendations. Outcome decisions are not useful across state lines. This is because approvals, denials, and criteria for provision of specific services vary across states to such a degree that decisions made using one state’s criteria are meaningless in the context of another state’s criteria.  

PTAC has consolidated the contact information for the appropriate contact person in each state should one state wish to coordinate receiving Level II evaluation information from another state. You can find the PASRR state lead contact information here.

That said, delays in receiving reliable Level II information from other states have inspired many states to develop their own strategies. For example, many states complete document and phone-based reviews prior to admission and follow-up with either a quality review (was initial document and phone based information accurate and adequate to meet the person’s PASRR needs?) or with an onsite Level II PASRR evaluation after admission. 

PTAC currently serves as a contractor for CMS.
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