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Preadmission Screening and Resident Review (PASRR) Program

Preadmission Screening and Resident Review (PASRR) is a protection and advocacy program that ensures that individuals who have major mental illness and/or developmental disability receive the appropriate treatment in the appropriate setting for the appropriate amount of time.


PASSR is the federally mandated Preadmission Screening and Resident Review program to determine medically necessity for nursing facility placement and need for specialized services.


All persons being admitted to a Medicaid certified nursing facility, regardless of payer source, must have a Level I Screen completed. The Level I Screen identifies any indication of a mental illness and/or mental retardation or a related condition.


If there is an indication of either disability a Level II Enhanced Evaluation may need to be conducted prior to nursing facility admission (Preadmission Screen).


The Level II Enhanced Evaluation determines whether the individual has a mental illness and/or mental retardation or a related condition; the individual requires nursing facility level of care and the individual requires specialized services while in the nursing facility.


After admission to a nursing facility, Level II Evaluation is also required promptly following any significant change in the resident's condition (Resident Review).

Federal Regulations mandate that the Department of Health Care Policy and Financing (HCPF) must:
  -  Include PASRR in state Medicaid Plan
  -  Develop plan detailing operation of program
  -  Bear final responsibility for assuring specialized services are provided for individuals with MMI and/or DD in nursing facilities
  -  Establish appeals system to protect patient's rights


Federal PASRR Regulation

Title 42, Volume 3  Part 483   Subpart C   Sec. 483.100 - 483.138

Colorado State PASRR Rule

10 C.C.R. 2505-10, Long Term Care, Section 8.401.18

Overview Provider Responsibilities
Pre-Admission Screening and Resident Review (PASRR) Agency Roles and Responsibilities


Single Entry Point (SEP)
Level I Screen  

SEP PASRR Checklist  
SEP Decision Tree


Nursing Facility
Nursing Facility PASRR Responsibility Checklist  
NF Transfers and Hospitalizations  
PASRR Fact Sheet Status Change
IMD Information Sheet  


Hospice Info Sheet  and Checklist  
Hospital Info Sheet and Checklist  
Geriatric Depression Scale (GDS)  
Colorado Swing Bed Guidelines & Hospitals  
PAS Level II Cheat Sheet for Hospital Discharge Planners




PACE/PASRR and Respite 


Mental Health


Developmental Disability


Community Centered Boards


Beers List
PASRR Med List