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.
What's New
April 20, 2022
Training materials and webinar recordings now available for the PASRR Training held on March 29, 2022.
Purpose of the PASRR Program
The PASRR program requires pre-screening or reviewing of all clients 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 clients 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 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.
Sign up to receive PASRR and Office of Community Living Communications
Training Materials
-
PASRR Quarterly Training Presentation - March 29, 2022
- Webinar Recordings - March 29, 2022
PASRR Introduction Presentation - February 9, 2021
- PASRR Introduction - Q&A - February 9, 2021
- PASRR Training Video Playlist
PASSR Level 1 - Part 1 Presentation - February 16, 2021
- PASRR Level 1 - Part 1 - Q&A - February 16, 2021
- PASRR Training Video Playlist
PASRR Level 1 - Part 2 Presentation - February 23, 2021
- PASRR Level 1 - Part 2 - Q&A - February 23, 2021
- PASRR Level 1 Screenshots - February 23, 2021
- PASRR Training Video Playlist
Samples:
- PASRR Sample Level 1 Outcome Letter - Level 2 Required - February 2021
- PASRR Sample Level 1 Outcome Letter - Level 2 Not Needed - February 2021
- PASRR Sample Level 1 Outcome Letter - Provisional Admission - February 2021
- PASRR Sample Print Version of Completed Level 1 Screen - February 2021
Telligen Qualitrac Registration link Login - myqualitrac.com
Request Status Change Tip Sheet - March 2021
Submit Level I Timings Instructions - July 2021
Timing for Level I Submissions Tip Sheet - July 2021
Submit Level I and Avoid RFI Instructions - July 2021
Avoiding RFI Tip Sheet - July 2021
Compliance Dates - July 2021
Compliance for Cancelled Level II Evaluation - July 2021
Understanding PASRR Specialized Services - February 2022CO PASRR Evaluation Follow-Up Task Presentation - November 23, 2021
- Webinar Recording - November 23, 2021
Notice of Determination Training - November 2020
Forms & Templates
- PASRR Level I - Missing Documentation Request Form
- PASRR Level II Serious Mental Illness - Missing Documentation Request Form
- PASRR Quarterly Psych Census Template - Updated September 2021
-
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 report to obi.agomoh@state.co.us by the end of the month following the last month of the quarter. For example, all Q4 2021 (Oct - Dec) reports are due by January 31, 2022.
-
Memos & Guidance
-
Operational Memo - OM 21-016 - New PASRR Vendor - February 2, 2021
-
Operational Memo - OM 20-043 - PASRR COVID-19 Update 2.5 - April 22, 2020
-
Operational Memo - OM 19-44 PASRR Updates - September 26, 2019
-
PASRR Contact Guide - September 2019
-
Informational Memo - IM 19-40 - PASRR Transition - June 21, 2019
-
PASRR Fact Sheet - April 2017
-
DAL - Respite Care Certification Standards and Procedures for Nursing Facilities - April 2017
Other Resources
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
10 C.C.R. 2505-10, Section 8.401.18
Title 42, Volume 3 Part 483 Subpart C Sec. 483.100 - 483.138
Contacts
PASRR Technical Assistance Center
Telligen Qualitrac Provider Portal Registration
- Questions about registration process: Stephanie Wilson swilson@telligen.com
Help Desk (starting 3-1-2021):
- Email: coloradosupport@telligen.com
- Phone: 1-833-610-1052
Submit PASRR Reviews prior to start date: coloradoreviews@telligen.com
For PASRR Level II-Mental Illness, PASRR Mental Illness Disability Determinations or other PASRR inquiries related to mental illness:
- Email: Michelle.Voss@state.co.us (preferred)
- MI PASRR Cell: 720-646-2881
For PASRR regulatory and compliance questions:
- Email: Obi.Agomoh@state.co.us (preferred)
- Phone: 303-866-6873
- Fax: 303-866-6427
Children's Extensive Support Waiver (CES)
- Candace Bailey - Candace.Bailey@state.co.us
Nursing Facility PARs
- Tammie Taylor - Tammie.Taylor@state.co.us
- Phone: 303-866-3574
Sign up to receive PASRR and Office of Community Living Communications