Preadmission Screening and Resident Review (PASRR) | State Mental Health Authority (SMHA)

The Office of Behavioral Health acts at the State Mental Health Authority (SMHA) for the federally required Preadmission Screening and Resident Review (PASRR) program for clients entering Medicaid Certified Nursing Facilities within Colorado, which is managed by the Colorado Department of Health Care Policy and Finance.

The SMHA is responsible for making the Mental Illness (MI) Specialized Services (SS) and Nursing Facility (NF) determinations, based upon an evaluation conducted by an independent entity. The SMHA makes timely determinations based on these independent Level II evaluations conducted on NF applicants and residents. Determinations made by the SMHA are based upon the above evaluations and contain all required information including any MI needs that are to be addressed in the NF plan of care. 

Although the SMHA does not perform the evaluation, it receives the evaluation report and as a practical matter, the report may be part of or attached to the determination notice produced by the SMHA. The SMHA notifies the State Medicaid Agency (SMA) of any NF residents with Serious Mental Illness (SMI) whom the SMHA becomes aware of that did not receive a Level II evaluation before admission, and any problems with PASRR that are the SMHA’s responsibility to address.

PASRR determinations made by the SMHA cannot be countermanded by the SMA through the claims payment process or through other utilization control/review processes, or by the Colorado Department of Public Health and Environment (CDPHE), survey and certification agency, or by any receiving facility or other involved entities.

For more information about the Colorado PASRR program, please visit the website here