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Pre-Admission Screening and Resident Review Program

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.

Questions? Contact Obi Agomoh, State PASRR Administrator at 303-866-6873 or Obi.Agomoh@state.co.us, or Chellie Voss at the Colorado Department of Human Services, Office of Behavioral Health at 303-866-7707 or Michelle.Voss@state.co.us.

PASRR Stakeholder Engagement

PASRR Office Hours - November 2020
 
PASRR Stakeholder Communications
 
If you are interested in receiving PASRR stakeholder communications, visit Sign Up for HCPF's Email Lists web page and select the "PASRR Stakeholders" option.
 
(If you are interested in receiving other communications from the Office of Community Living, you can select the "Long Term Services and Supports Stakeholders" list or the "Intellectual and Developmental Disability Stakeholders" list. You might also consider the Department's monthly At A Glance newsletter.)
 

PASRR Training

 
PASRR Psych Census Report Template
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 2020 (Oct - Dec) reports are due by January 31, 2021.
  • PASRR Quarterly Psych Census Template - Updated March 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.

Memos and More Information

Operational Memo - OM 21-035 - PASRR Stakeholders - April 8, 2021

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

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, Long Term Care, Section 8.401.18
 
 
Title 42, Volume 3 Part 483 Subpart C Sec. 483.100 - 483.138

 

Documents and Resources
Hospice/Hospitals PASRR Documents


PACE PASRR Documents

 
PASRR External Resources
 
Medication
Contacts

Help Desk (starting 3-1-2021):

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:

For PASRR Level II-Intellectual Disabilities, PASRR Intellectual Disability Determinations or other PASRR inquiries related to intellectual disabilities:

For PASRR regulatory and compliance questions:

Children's Extensive Support Waiver (CES)

Nursing Facility PARs

Sign up to receive PASRR and Office of Community Living Communications