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

Resources

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
Specialized Services
Mar 8, 2018
The Code of Federal Regulations (CFR) is clear at §483.102 that PASRR is required for all individuals who apply to or reside in a Medicaid-licensed nursing facility
FAQ
SNF
Mar 8, 2018
Nursing facility (NF) refers to long-term care facility certified by the state survey agency (SSA) to provide services to Medicaid recipients. NFs typically provide long-term care, though they can also provide rehabilitative care to Medicaid beneficiaries following hospital discharge.
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
Specialized Services
Feb 8, 2018
In order to be eligible for federal financial participation (FFP), Specialized Services must be included in the State Plan.
FAQ
FFP
Jan 27, 2018
To understand what PASRR activities cannot be claimed at the 75% Federal Financial Participation (FFP) match, one must first be clear on what activities are eligible for FFP.
FAQ
75% Match
Jan 27, 2018
Federal regulations give states the authority to claim FFP for administrative activates associated with the PASRR program included in their State Plan at Part §433.15(a)(9) of the CFR.
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
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.

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