Preadmission Screening and Resident Review (PASRR)


Preadmission Screening and Resident Review (PASRR) is a federally mandated program that is applied to all individuals seeking admission to a Medicaid-certified nursing facility, regardless of funding source.

Three Main Goals Of PASRR

  • To identify people, including adults and children, with mental illness, and/or an intellectual or developmental disability or related condition;
  • To ensure appropriate placement, whether in the community or the nursing facility;
  • To ensure people receive specialized services for mental illness, and/or IDD, if eligible.
PASRR photo 1

Getting Started

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As the Local Intellectual & Developmental Disability Authority, Metrocare must screen every resident before admission to any Nursing Facility that accepts Medicaid, regardless of payor source. The PASRR Level 1 (PL1) Screening determines if an individual is suspected of having a mental illness or a related condition and qualifies for support services.

Potential Nursing Facility Residents: Fill out the PASRR LEVEL 1 Screening Here.

**Note: Families only need to fill out highlighted fields on the Screening Form. Families must select a facility.

  • If the screening is positive, a PASRR Evaluation (PE) will be completed.
  • If the screening is negative, the PASRR process ends for the individual.

A PASRR Evaluation (PE) is an extensive evaluation by PASRR staff to assess the individual’s skill level, health needs, diagnosis, and best treatment options. The PE will be completed within 7 to 14 days after the Level 1 Screening and service coordination will then begin.

Documents Requested During Evaluation:

  • Health/Medical Information (Any Diagnosis, Medication History, Hospitalization Records)
  • Supporting documentation of an intellectual or developmental disability; this can include but is not limited to the following:
    • Special Education Testing (Full and Individual Evaluation (FIE) and/or Review of Existing Evaluation Data (REED))
    • Any Psychological Reports and/or psychiatric records stating test results and diagnosis of the individual
  • Any Other Legal Documents (Conservatorship Order, Letters of Guardianship, Adoption papers, Divorce Decree, Custody papers, etc.)

Based on the PASRR Evaluation, a Metrocare Service Coordinator will meet with your loved one in the nursing facility within 14 days to discuss services and treatment options. Services will begin within 20 days.

Services include specialized intellectual & developmental disability services and/or mental health services in the nursing facility. See examples of frequently offered services listed below.

Mental Health

  • Individual/Group Skills Training
  • Routine/ Intensive Case Management
  • Individual/Group Medication Training
  • Individual/Group Psychosocial Rehabilitative Services
  • Individual/Group Skills Training and Development
  • Cognitive Processing Therapy
  • Individual/Group Counseling
  • Crisis Intervention Services
  • Peer Support

Intellectual/Developmental Disability 

  • Alternate Placement Services
  • Behavior Support
  • Day Habilitation
  • Employment Assistance
  • Habilitation Coordination
  • Independent Living Skills Training
  • Supported Employment
  • Durable Medical Equipment (DME)

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