1

Pre-Admission Screening and Resident Review 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.

Purpose of the PASRR Program

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.

Sign up to receive PASRR and Office of Community Living Communications

Training Information

HCPF is excited to announce that we have partnered with a new PASRR vendor, Maximus. Beginning July 1, 2025 Maximus will be replacing Telligen. To help ensure a smooth transition, please view the following training opportunities.

Training Schedule

Each training session will cover the same content, so it is only necessary to register for one training session per topic, although you are welcome to attend multiple sessions. 

Advance registration is required.

All training sessions will be recorded and available to view through the PASRR webpage.

Project Introduction 

Join us to learn about upcoming changes to the CO PASRR program. We will talk about how to register for AssessmentPro, the new PASRR system of record, and discuss the project timeline. This session is for all people who will be submitting PASRR screens or who need to access PASRR determinations or tracking information. 

Register for one of the following sessions: 

PASRR Foundation 

Join us to learn about PASRR. We will discuss state and federal requirements, the program process, and how Maximus will support PASRR in Colorado. This session is for all people who will be working with PASRR. 

Register for one of the following sessions: 

AssessmentPro Walkthrough 

Join us to learn about AssessmentPro, the new PASRR system of record for Colorado. This session will serve as a tour through the system to show how you will complete your work related to PASRR. There is no practice environment available to you, so we encourage you to attend to see how the system works. This session is for all people who will be working with PASRR. 

Register for one of the following sessions: 

All about Level I and PathTracker 

Join us to learn about the new Level I screen and PathTracker, the NF census tracker feature within AssessmentPro. We will discuss what to include on the screen, how to submit the form, and the benefits of the expanded information requested. This session is for all people who will be working with PASRR.

Register for one of the following sessions: 

Program Refresher 

Join us as we review the important points of AssessmentPro and PASRR for the changes starting on July 1, 2025. This is a refresher of the information provided throughout May and June. This session is for all people who will be working with PASRR. 

Register for one of the following sessions: 

Questions and Answers 

Join our team to answer your questions about the new PASRR process. This is your chance to ask any outstanding questions related to PASRR, AssessmentPro, and Maximus. This session is for all people who will be working with PASRR. 

Register for one of the following sessions: 

 

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

Memos and Guidance

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

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

Telligen Qualitrac Provider Portal Registration

Help Desk:

  • Phone: 1-833-610-1052 (preferred and fastest response)
    • Hours: Monday through Friday - 8 a.m. to 5:30 p.m.
       
  • Email: coloradosupport@telligen.com - Note: Do NOT include protected health information or personal identifiable information (PHI or PII) in your email.  Encrypted emails cannot be read in the Telligen system and therefore there will be no response.

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) Note: Ensure emails containing PHI or PII are sent encrypted.
  • MI PASRR Cell: 720-646-2881

For PASRR regulatory and compliance questions:

Sign up to receive PASRR and Office of Community Living Communications