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

Resources

FAQ
FFP, 75% Match
Sep 17, 2013
Any activity that cannot be clearly tied to the administration of PASRR cannot be claimed at the enhanced 75% match. Examples include, but are not limited to:
FAQ
FFP, 75% Match
Sep 17, 2013
CMS generally reimburses nursing facility level of care (NF LOC) determinations at the 50% match rate. However, states that integrate their NF LOC determination activities with PASRR as described below can receive the enhanced 75% match rate.
FAQ
FFP, 75% Match
Sep 16, 2013
A Cost Allocation Plan (CAP) is a narrative description of the procedures that a state will use in identifying, measuring, and allocating costs that it incurs in supporting programs it administers or supervises.
FAQ
FFP, 75% Match
Sep 16, 2013
Activities that can be clearly tied to the administration of PASRR, and in accordance with the Cost Allocation Plan, can be claimed at the enhanced 75% match.
FAQ
Change in Condition
Jul 23, 2013
A resident review (RR) and determination must be conducted promptly (within an average of 7-9 days) after a nursing facility has notified the state mental health authority or state intellectual disability authority that there has been a significant change in the resident’s physical or mental...
FAQ
Laws and Rules
Jun 28, 2013
The PASRR Final Rule (57 FR 56450) was published in 1992, at which time the term "mental retardation" was still widely used. In the time since the PASRR Final Rule was published, the term "intellectual disability" has come to replace "mental retardation" in most state laws.
FAQ
Swing Beds
May 1, 2012
A swing bed is a bed that changes (or "swings") between providing hospital services and providing Medicare or Medicaid nursing facility services.
FAQ
Level II, Interfacility Transfer, Promising Practice
Apr 20, 2012
The key to meaningful interstate coordination is to share Level II evaluation facts rather than Level II evaluation conclusions or outcomes.
FAQ
Intellectual Disability
Mar 20, 2012
The PASRR determination has implications for appropriate services, placement, and funding for such an individual. The state’s intellectual disability authority (SIDA) should be consulted in the review and discussion about how to deal with the lack of documentation to establish diagnosis prior to...
FAQ
Level I, Personnel
Mar 14, 2012
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.
FAQ
Hospice
Aug 25, 2011
PASRR applies by the certification type of a facility. It does not depend upon any facts about the individual, including insurance type (Medicaid, Medicare, or private pay).
FAQ
Level II, Federal Regulations, Intellectual Disability
Aug 10, 2011
According to CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
FAQ
Timing, Resident Review
Aug 10, 2011
42 CFR 483.100-138 is largely mute about the timing of Resident Reviews. Recall that the CFR still described an annual Resident Review; it has not been updated to reflect subsequent legislative changes.
FAQ
Mental Illness, Level II, Intellectual Disability
Aug 10, 2011
All individuals applying to a Medicaid-certified NF must be screened both for mental illness and for intellectual disability. An individual who tests positive on both screens must undergo a Level II for mental illness and a Level II for intellectual disability.
FAQ
Interfacility Transfer
Aug 10, 2011
If an individual is transferred from one NF to another NF, they need not be re-evaluated. If the individual is transferred from one NF to another with an intervening hospital stay (e.g., for inpatient psychiatric treatment), a new Preadmission Screen is not required.
FAQ
Resident Review, Level II, NF, Laws and Rules
Aug 10, 2011
No. It is illegal for NFs to perform a PAS or RR. The PAS must be performed before an individual is admitted to the NF, and must be conducted by parties unaffiliated with the NF.
FAQ
Brain Injury, Related Conditions
Aug 10, 2011
All individuals applying to a Medicaid-certified NF must undergo at minimum a Level I evaluation, whether they have TBI, some other mental disability, or no mental disability. Whether an individual with TBI should test positive at Level I depends upon when the TBI was acquired.
FAQ
Record Keeping, Timing
Aug 10, 2011
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 NF.
FAQ
IMD
Aug 10, 2011
The so-called “IMD exclusion” bars federal contributions to the cost of medically necessary inpatient care incurred in treating Medicaid beneficiaries ages 21-64 who receive care in institutions that qualify as IMDs.
FAQ
Record Keeping, Timing
Aug 10, 2011
42 CFR 483.130(o) has this to say about the retention of PASRR records:

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