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

Resources

FAQ
75% Match
Jan 27, 2018
According to §1903(a)(2)(C) of the Social Security Act and 42 CFR 433.15(b)(9), activities 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
Laws and Rules
Jan 25, 2018
Part 42, Subpart C of the Code of Federal Regulations (CFR) contains the guiding regulations for PASRR compliance.
FAQ
Hospital Discharge Exemptions
Jan 25, 2018
According to 42 CFR 483.106(a)(2), Basic Rule, the only true exemption from PASRR is the Exempted Hospital Discharge (EHD).
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
Interfacility Transfer
Dec 8, 2017
According to 42 CFR §483.106(b)(4) of the Code of Federal Regulations (CFR), when an individual is transferred from one nursing facility (NF) to another NF, with or without an intervening hospital stay, the individual is not considered a “new admission” and does not need preadmission screening.
FAQ
Resident Review
Dec 7, 2017
Originally when the PASRR regulations were completed in 1992, Resident Reviews were required annually.
FAQ
Dementia, Mental Illness
Jul 26, 2017
The dementia exclusion for mental illness allows for the Level II evaluator to stop the evaluation if they determine that the diagnosis of dementia is primary and the mental illness (MI) diagnosis is secondary.  It is important to note that the diagnosis or verification of a diagnosis of MI and...
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.
FAQ
Level II, Personnel
Jun 11, 2014
Yes, hospitals can perform Level II evaluations -- provided they have the qualified staff. In order to complete these evaluations, hospitals would first have to negotiate payment rates with the relevant state agency.
FAQ
Level I
Jan 16, 2014
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.
FAQ
Timing, Level I
Jan 16, 2014
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.
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
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
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
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.

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