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Preadmission Screening and Preadmission Resident Review (PASRR) Information for Nursing Facility Providers

PASRR is a federal- and state-required process that is designed to, among other things, identify evidence of serious mental illness (SMI) and/or intellectual or developmental disabilities (ID/DD) in all individuals (regardless of source of payment) seeking admission to Medicaid- or Medicare-certified nursing facilities.

Table of Contents

The PASRR process begins with a Level I Preadmission Screen, which is designed to identify all individuals seeking admission to a nursing facility that have, or may have, SMI and/or ID/DD. If the Level I screener suspects that the screened individual has SMI and/or ID/DD, she or he refers that individual to the appropriate PASRR authority for a Level II evaluation. The Level II evaluator confirms whether the individual has SMI and/or ID/DD and, if so, whether the individual requires a nursing facility level of care and specialized services.

The PASRR Portal

As of August 2023, MassHealth launched a new PASRR Porta that allows for the online submission of all PASRR Level I forms (both positive and negative), submission of any required documentation relating to Level I and Level II PASRR, and the ability to view, track, and update PASRR information as required.

Healthcare Organizations are required to complete PASRR Level 1 screenings using the Portal.  This includes all healthcare organizations that complete the PASRR Level 1 screenings such as:

  • Nursing Facilities
  • Chronic and Acute Hospitals
  • ASAP Agencies

The PASRR portal can be accessed at www.masspasrr.org.

Related Programs

Behavioral Health Community Partners Supports & DMH Case Transition Management Team for Nursing Facility Residents

The Behavioral Health Community Partners (BH CP) Program and the Department of Mental Health (DMH) Transition Case Management Team work in a coordinated manner to provide additional support to specific population within nursing facilities. More information about these programs can be found in Nursing Facility Bulletin 180.

Community Transition Liaison Program

The Community Transitions Liaison Program (CTLP) provides focused support for all NF residents who are 22 and older, regardless of insurance type, who are interested in transitioning to the community. More information about this program can be found in Nursing Facility Bulletin 179.

Date published: April 3, 2024

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