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

For PASRR purposes, what must be done for a state to complete Form CMS-64?

Lines 10 and 11 of Form CMS-64 are used to claim the enhanced 75% match rate for PASRR-related activities. Specifically, a state should use line 10 to claim its “Preadmission Screenings Costs,” i.e. PASRR activities that happen before admission into a nursing facility. A state should use Line 11 for “Resident Review Activities Costs,” i.e. resident evaluations triggered by a significant change in condition that affects an individual's disability-specific needs. Although the match rate for lines 10 and 11 is 75%, accurate allocation of costs across these two categories is important. States should contact the Financial Management Group in the SMA for more information on how to allocate PASRR costs that are shared across Preadmission Screening (line 10) and Resident Review (line 11) activities.

States input the amount of money spent for each line 10 and line 11 in Column A (Total Computable) of Form CMS-64. The system will automatically calculate the 75% match rate for these expenditures.


PTAC currently serves as a contractor for CMS.
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