Pre-Admission Screening and Resident Review Program

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

 

PASRR is a federally mandated program to determine medical necessity for nursing facility placement and need for specialized services.

 

All persons being admitted to a Health First Colorado (Colorado's Medicaid Program) 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 developmental disability 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 developmental disability 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:

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

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