Pre-Admission Screening and Resident Review (PASRR)

For a state to have its Medicaid plan approved by the Centers for Medicare and Medicaid Services (CMS), it must maintain a Preadmission Screening and Resident Review (PASRR) program that complies with the relevant federal laws and regulations.

Everyone who applies for admission to a Medicaid certified nursing facility (NF), regardless of funding, must be "screened" for evidence of serious mental illness (MI) and/or intellectual disability, developmental disabilities, or related conditions (collectively abbreviated as "ID").

A NF must not admit an applicant who has MI and/or ID unless the appropriate state agency has determined whether a) the individual needs the level of care that a NF provides, and b) whether individuals who need NF care also need high-intensity "specialized services." Generally speaking, the intent of PASRR is to ensure that all NF applicants are thoroughly evaluated, that they are placed in nursing facilities only when appropriate, and that they receive all necessary services while they are there.

There are two levels of screening: Level I and Level II. The purpose of a Level I screen is to determine whether an individual might have MI and/or ID. If an individual has a positive finding for possible MI or ID at Level I, the subsequent Level II evaluation will:

  1. Confirm or disconfirm the results of the Level I screen, and
  2. For individuals who have MI or ID, determine where they should be placed - whether in a NF or in the community - and identify the set of services they require in order to maintain and improve their functioning.

The information above is from:

Iowa's PASRR website provides: Announcements, A PASRR Tip of the Month, Provider and Supervisor Tools, and Educational tools which are available to the general public. For Iowa PASRR providers, frequently asked questions and other resource documents have been added to the Educational Tools category.

For more information, contact:

Lila PM Starr
Iowa Department of Human Services
Division of Mental Health and Disability Services
Bureau of Community Services & Planning
1305 E. Walnut Street, 5th Floor SE 
Des Moines, Iowa 50319-0114 
Phone: 515-281-5318
Fax: 515-242-6036