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:

Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes 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
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.
IL 2015-84 Pre-Admission Screening and Resident Review — Reviewing and Requesting Changes to PL1s
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
IL 2014-33 Preadmission Screening and Resident Review Minimum Data Set Long Term Care Medicaid Information Rejections
IL 2014-17 Pre-admission Screening and Resident Review Coordination and Cooperation between Local Authorities and Nursing Facilities