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Medicaid regulations require states to maintain a PASRR program to screen nursing facility (NF) applicants and residents for serious mental illness (SMI) or Intellectual Disabilities (ID). This will ensure NF applicants and residents with SMI or ID are:
PASRR is part of the Federal Omnibus Budget Reconciliation Act. The rules regarding the PASRR process are found in the Code of Federal Regulations Part 483, Subpart C. Volume 57, No. 230
(42 CFR 483.100 to 42 CFR 483.204).
PASRR includes Level I, Level II and Resident Review.
Level I is an initial screening conducted prior to NF admission to identify individuals with indicators of SMI or ID.
The Level I screen is conducted by hospital discharge planners, hospice/home health agencies, medical office social workers, APD, AAA specialists and case managers and Private Admission Assessment (PAA) contractors.
Individuals identified with SMI or ID may receive further evaluation if the individual needs long-term care.
If the Level I screener finds SMI/ID indicators during the screening, the screener then notifies the Community Mental Health Program to request a Level II screening.
If the QMHP determines that the NF is the most appropriate setting, the determination may include recommendations for “services of a lesser intensity than Specialized Services” to meet the resident's needs. Recommendations may include but not be limited to:
Non-Medicaid billing form for PASRR services T2010 and T2011
PASRR Determination Notice/Evaluation Summary and Report
PASRR Data Summary - Form 440
Current Prioritized List of Health Services
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