Preadmission Screening & Resident Review (PASRR)

Many people with mental illness and/or intellectual and developmental disabilities can safely live in a community setting while receiving the support services they need. Preadmission Screening and Resident Review is a process that helps ensure people who need these supports are only placed in a nursing facility when appropriate.

What is PASRR?

PASRR is a federally mandated program that requires all states to prescreen all people, regardless of payer source or age, seeking admission to a Medicaid-certified nursing facility. PASRR has three goals:

  1. To identify people, including adults and children, with mental illness and/or IDD.
  2. To ensure appropriate placement, whether in the community or the nursing facility.
  3. To ensure people receive the required services for mental illness and/or IDD.

To learn more about the PASRR process, choose the option that best describes who you are:

People & Their Families

Explore opportunities to live in the least restrictive settings.

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Hospital Discharge Planners & Referring Entities

Help patients transition from hospitals and acute-care facilities to the community.

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Nursing Facilities

Provide meaningful care to people with intellectual or developmental disabilities and related conditions.

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Identify people with intellectual or developmental disabilities and related conditions and help ensure they are receiving services and quality care.

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Plan, coordinate, supervise and ensure the provision of mental health services to people with mental illness, ensuring they have access to services.

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PASRR Specialized Service Providers

Help provide habilitative specialized care to people with intellectual or developmental disabilities and related conditions living in nursing facilities.

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If you need an electronic copy of the document provided at the July 15-16, 2015, training, please send an email to:

Information & Provider Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
IL 2020-39 Qualified Rehabilitation Professional -assessment required for Preadmission Screening and Resident Review – Customized Manual Wheelchair - prior authorization requests
Note: REVISED: September 1, 2020
IL 2019-03 Preadmission Screening and Resident Review (PASRR) Nursing Facility Specialized Services and the Election of Hospice Services 3/1/2019
PL 2017-24 All Providers are Required to Redo Nurse Aide Registry (NAR) Searches Conducted from June 14, 2017, through August 3, 2017 9/7/2017
PL 2017-15 Failure to Deliver PASRR Services
Note: This letter replaces Provider Letter No 17-15 dated May 2, 2017. It clarifies that the role of the nursing facility NF is to coordinate completion of the Level I screening and Level II evaluation assessments with appropriate entities.
PL 2017-23 All Providers Are Required To Redo Employee Misconduct Registry (EMR) Searches Conducted From June 9, 2017, through July 27, 2017 8/7/2017
IL 2015-84 Pre-Admission Screening and Resident Review — Reviewing and Requesting Changes to PL1s 12/31/2015
PL 2015-16 Preadmission Screening and Resident Review (PASRR) Facility Requirements
Note: Replaces PL 14-21 and PL 01-13
IL 2014-47 Billing for Targeted Case Management Services and Preadmission Screening and Resident Review Evaluations -- REMINDER 8/14/2014
IL 2014-33 Preadmission Screening and Resident Review Minimum Data Set Long Term Care Medicaid Information Rejections 6/19/2014
IL 2014-17 Pre-admission Screening and Resident Review Coordination and Cooperation between Local Authorities and Nursing Facilities 3/27/2014