1000, Introduction to PASRR

Revision Notice 22-1; Effective Nov. 28, 2022

Preadmission screening and resident review (PASRR) is a federal requirement documented in the Code of Federal Regulations, Title 42, Part 483, Subpart C. PASRR is a process to identify people with a mental illness (MI), intellectual disability (ID), or developmental disability (DD), which is also known as a related condition (RC), who apply to, or reside in, a Medicaid-certified nursing facility (NF) to ensure that NF admission is appropriate. PASRR is also intended to ensure that people with MI, ID or DD are receiving all the necessary specialized services.

In Texas, local intellectual and developmental disability authorities (LIDDAs), local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) play key roles in the PASRR process.

Texas Health and Human Services Commission (HHSC) rules governing PASRR are in:

  • 26 Texas Administrative Code (TAC) Chapter 303, for LIDDAs, LMHAs and LBHAs; and
  • 26 TAC Chapter 554, Subchapter BB, for NFs. This handbook provides additional instructions and procedures for LIDDAs in implementing PASRR requirements.