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.

  • Hospital Discharge Planners & Referring Entities

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

  • Nursing Facilities

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

  • LIDDAs

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


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

  • PASRR Specialized Service Providers

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


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

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 2017-24 All Providers are Required to Redo Nurse Aide Registry (NAR) Searches Conducted from June 14, 2017, through August 3, 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
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