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Pre-Admission Screening and Resident Review (PASRR)

PASRR is a federally mandated, pre-admission screening program (see 42 CFR § 483.100) required to be performed on all individuals prior to admission to a Nursing Facility (NF). The screening is for suspicion of mental illness and/or intellectual disability, to ensure appropriate placement in the least restrictive environment, and to identify the need to provide applicants with needed specialized services. PASRR screening applies to all new admissions into a Medicaid certified nursing facility, and includes private pay, Medicare, and Medicaid admissions regardless of payor source. This screening is separate from a CARES medical needs assessment, which most often occurs after a person applies for Medicaid, and is a required step to qualify for Medicaid long-term care assistance..

The Florida Agency for Health Care Administration (AHCA), as the single state Medicaid agency, is responsible for the PASRR policy. Click on the link below to view information about the PASRR process, and to download the PASRR forms:

As of October 1, 2015, the CARES Program will only accept the revised Preadmission Screen and Resident Review (PASRR) Level I Form, and Preadmission Screen and Resident Review (PASRR) Resident Review – Evaluation Request Form, as incorporated into Rule 59G-1.045, Florida Administrative Code

Additional information about the PASRR process may be found on AHCA’s Florida Medicaid Provider Training e-Library site: http://ahca.myflorida.com/Medicaid/e-library/index.shtml.

For information concerning PASRR Level II Referrals for Mental Illness, please visit the APS Healthcare website at www.apshealthcare.com, or send your questions by email to FLPASRRMIQuestions@APSHealthcare.com.

You may also contact:

Ellen Olsen, MSW, LCSW
Program Director, APS Healthcare
phone 866.880.4080 | ext. 8927 | fax 866.677.4776

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