Preadmission Screening & Resident Review (PASRR) is a federal requirement to ensure individuals are not inappropriately placed in Nursing Facilities for Long Term Care.
Per the Omnibus Budget Reconciliation Act (OBRA) 1987, the goal is to prevent inappropriate placement of persons with serious mental illness, intellectual disability or other developmental disability. To ensure all applicants to a Medicaid certified Nursing Facility is offered the most appropriate setting for their needs (in the community, Nursing Facility, or acute care setting and to receive specialized services per assessed need in the applicable setting.)
PASRR process requires all applicants to a Medicaid-certified Nursing Facility are identified, properly evaluated and determined appropriate for admission or continued stay and is provided with any specialized services, if assessed for needing specialized services.
Level I
Preadmission Screen (PASRR) must be completed on all applicants and residents in a Medicaid certified Nursing Facility regardless of payer source, to identify if a Level II (PAS) is required. Level I (PAS) must be completed prior to date of admission to the Nursing Facility.
Level II (PAS)
The Nursing Facility must request a Level II (PAS) screen from the applicable screening agent (DDS or DMH or their designee) to complete an evaluation on the individual identified in the Level I (PAS) process as suspected or known to have a diagnosis of MI, ID or DD and/or to evaluate the individual in the event of a change in condition. The screening agent is also responsible to make the determination that Nursing Facility services are necessary and whether specialized services are required.
Resources & Downloads
2013 Obra Tool
- Download 2013 OBRA Tool (pdf)
PAS Flowchart
- Download PAS FlowChart (pdf)
PASRR Resource List