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Pre-Admission Screening and Resident Review Program

Purpose of the PASRR Program

Pre-Admission Screening and Resident Review (PASRR) program is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long-term care.

The PASRR program requires pre-screening or reviewing of all members who apply to or reside in a Medicaid-certified nursing facility regardless of the source of payment for the nursing facility services or The individual's or resident's diagnosis. PASRR consists of two elements:

  • PASRR Level I Identification Screening: The purpose of the PASRR Level I Identification screening is to identify for further review all those members seeking nursing facility admission, for whom it appears a diagnosis of mental illness or intellectual or developmental disability is likely.
     
  • PASRR Level II Evaluation: The purpose of the PASRR Level II evaluation is to evaluate and determine whether nursing facility services are needed, whether an individual has a mental illness or intellectual or developmental disability and whether specialized mental health or intellectual or developmental disability services are needed. After admission to a nursing facility, Level II Evaluation is also required promptly following any significant change in the resident's condition.

 

Forms and Templates

  • PASRR Level II Serious Mental Illness - Missing Documentation Request Form
     
  • Exempted Hospital Discharge Form - May 2023
     
  • PASRR Quarterly Psych Census Template - Updated March 28, 2023 
    Note: Ensure emails containing PHI or PII are sent encrypted
    • The PASRR quarterly psych census report is a requirement under the Institution for Mental Disease (IMD). "Institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care, and related services" (42 C.F.R. section 435.1010 (2013)). Nursing Facilities are responsible for ensuring that they meet the assurance that their facilities are not IMD and facilities that meet the primary 50% criterion at a minimum are at serious risk of losing Medicaid dollars.
       
    • Send reports by encrypted email to HCPF_PASRRQPsychCensus@state.co.us by the end of the month following the last month of the quarter. Reports are due as follows:
      • Quarter 1 (January through March) - reports due April 30, 2025
      • Quarter 2 (April through June) - reports due July 31, 2025
      • Quarter 3 (July through September) - reports due October 31, 2025
      • Quarter 4 (October through December) - reports due January 31, 2026
         
      • Note: If you have completely updated your ENTIRE facility census in Maximus’ PathTracker System - you are no longer required to submit Quarterly Psych Census Reports.
         

Memos and Guidance

 

Regulations Governing PASRR

Federal Regulations mandate that the Department of Health Care Policy and Financing (HCPF) must:

  • Include PASRR in Health First Colorado State 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

Colorado State PASRR Rule

10 C.C.R. 2505-10, Section 8.401.18

Federal PASRR Regulation

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

 

Contacts

Maximus Help Desk:

  • Phone: 1-833-588-7787 
  • Email: COPASRR@maximus.com
  • Business Hours: 8 a.m. to 5 p.m. MT - Monday through Friday

For PASRR Level II-Mental Illness, PASRR Mental Illness Disability Determinations, or other PASRR inquiries related to mental illness:

For PASRR regulatory and compliance questions:

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