Preadmission Screening and Resident Review (PASRR)
PASRR information for providers
Preadmission Screening and Resident Review (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.
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.
