PASRR Training

Fifth Annual PASRR Conference

Registration is available for the Fifth Annual Pre-Admission Screening and Resident Review (PASRR) virtual conference on Nov. 9-10, 2021. Attendees must register for the main conference sessions and one of the breakout sessions. Day one will feature a main session and a variety of breakout sessions. Day two will only feature one main session with the conference concluding at 12:00 p.m. For PASSR conference information, review or download the 2021 PASRR Virtual Conference program (PDF).

Main Conference Session Registration:

Nov. 9, 2021 Breakout Sessions (Register for one in each time slot):

Breakout Session One: 10:30 - 11:30 a.m. (Register for one breakout session.)

  • An In-Depth Look at Habilitation Coordination & Transition Planning

    An overview of Habilitation Coordination and Transition Planning concerning some of the key elements with service planning and monitoring in Pre-Admission Screening and Resident Review (PASRR), since the initiation of Habilitation Coordination in Texas on July 07, 2019.

  • PASRR Webinar for Providers – A Regulatory Perspective

    An overview of the PASRR process and informs nursing facility providers of the state and federal requirements from a regulatory perspective. In addition, the presentation informs providers on what state surveyors are reviewing to ensure PASRR requirements have been met.

  • Guardianship a Basic Introduction

    An overview of guardianships in Texas. The facilitators will explain Texas Guardianship Minimum Standards, ethics, certification requirements, HHSC referrals, and community referrals to the probate court.

Breakout Session Two: 1 - 2:00 p.m. (Register for one breakout session.)

  • PCSP Form and Its Functionality

    This is a discussion and overview of the PASRR Comprehensive Service Plan (PCSP) form. This training will provide solutions with common issues the Local Authority faces when completing and submitting the PCSP form. It will also review any major changes or updates to the form.

  • PASRR Process for People with Mental Illness

    This presentation will increase attendee’s understanding of the PASRR process for a person suspected of having a Mental Illness (MI). The presentation includes the definitions of MI for PASRR eligibility, how to complete the PASRR Evaluation to determine if a person meets the PASRR definition for MI, and, if the person is determined to be PASRR positive for MI, the new LMHA/LBHA requirements and timelines to be followed.

Breakout Session Three– 2:15 - 3:15 p.m. (Register for one breakout session)

  • Community Living Options

    The Community Living Options (CLO) process is an integral component of services to people who are PASRR recipients. This presentation reviews basic timeline markers, HHSC required materials for education, CLO form (form 1054) specifics, and other activities related to the CLO process. The presentation also reviews Service Planning Team (SPT) obligations to address identified barriers as part of the Habilitation Service Plan development or revision.

Breakout Session Four: 3:30 - 4:30 p.m. (Register for one breakout session)

  • Employment First and Benefits

    This presentation will provide an overview of Employment First principles and philosophies relating to persons receiving services and who set the goal to work in competitive and integrated settings in the community. Additionally, there will be an overview of Employment Assistance and Supported Employment followed by information presented on social security benefits and tools to preserve those benefits when a person receiving service becomes employed.

  • PASRR Mailbox Top Two FAQs for Preadmission and Nursing Facility Specialized Services

    This presentation will review and provide information regarding the top two frequently asked questions that come through the HHSC PASRR Mailbox. It will increase the attendee’s understanding of the process for requesting a PASRR Nursing Facility Specialized Service (NFSS) including PASRR Customized Manual Wheelchair Authorization Requests and the PASRR Admission Processes.

  • An Overview of Person-centered Thinking and the Implementation of Person-centered Practices

    This presentation provides an overview of person-centered thinking (PCT), person centered planning, and person-centered practice. Participants receive instruction regarding how PCT (the language, values, and actions underlying it) promotes person-centered practice and person-centered planning. Also, participants are introduced to the skills taught in a full PCT course and how those skills relate to determining what is important to a person and what is important for a person.

Upon registration, registrants will receive a confirmation email with a unique link for each of the conference sessions. The unique link allows PASRR conference staff to verify attendance for continuing education units (CEUs). CEUs are available for licensed marriage and family therapists, licensed professional counselors, licensed social workers, licensed nursing facility administrators, nursing facility activity directors, qualified intellectual or developmental disability professionals, assisted living facility managers, certified nurse aides, Home and Community Support Services Agency managers, and Day Activity and Health Services managers.

For questions about the conference, email PASRR.

Web-based Training

In the Preadmission Screening and Resident Review process, referring entities, nursing facilities, and local authorities have distinct roles and responsibilities. For people to benefit from the PASRR process and thereby receive the most appropriate services, each of these entities must fulfill their roles and responsibilities. Anyone regularly involved in the PASRR process should complete all courses posted on this page. The web-based courses on this page have been approved by HHS for Nursing Facility Administrator continuing education credit. To access and complete all the following online courses, visit the HHS Learning Portal PASRR Training Homepage, create a user login, and follow the instructions to complete the courses.

PASRR Introductory Training

The following courses provide a general introduction and overview to the PASRR process and rules.

PASRR 101 Web-based Training

This course is geared toward nursing facilities and is designed to deliver information about the role nursing facilities fulfill in the PASRR process. This course will focus on the purpose of PASRR, state and federal regulations which govern the PASRR process, types of admissions, screening and specialized services. This course will provide an overview of each aspect of the PASRR process.

To access and complete this free online training, visit to the HHS Learning Portal, create a user login and follow the instructions.

PASRR Rules: TAC Title 40, Part 1, Chapter 19, Subchapter BB

This training discusses the nursing facility responsibilities related to PASRR, found in the Texas Administrative Code Title 40, Part 1, Chapter 19, Subchapter BB.

To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions.

PASRR Level 1 Training

The following courses focus on roles and responsibilities of referring entities, nursing facilities and local authorities in the PASRR Level 1 Screening.

PASRR Referring Entity Training

PASRR referring entities include anyone who refers a person to a Medicaid-certified nursing facility, including hospitals, attending physicians, legally authorized representatives or other personal representatives selected by the person, family members, or representatives from an emergency placement sources, such as law enforcement, or another nursing facility (when undergoing a change of ownership, or when a person transfers to another nursing facility). This training is designed to give PASRR-referring entities the information, tools and resources needed to successfully complete the PASRR Level I (PL1) screening form, which must be completed for all people seeking admission to a Medicaid-certified nursing facility.

To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions.

PASRR PL1: Back to Basics

This training reviews the PL1 form in a section-by-section manner. Participants will be asked to take notes on a blank PL1 form as they complete the training. At the conclusion of the training, participants will understand how to complete the PASRR Level 1 screening form and will be familiar with the following PL1 topics: admissions, transfers, discharges, and changes of ownership.

To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions.

PASRR Evaluation Training

The following course focuses on roles and responsibilities of nursing facilities and local authorities in the PASRR Level II.

PASRR Evaluation: What Nursing Facilities Need to Know

This training explains the PASRR Evaluation and how the PE impacts the nursing facility and the people served in the nursing facility. PL1: Back to Basics should be completed as a prerequisite for this training.

To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions.

PASRR Specialized Services

The following courses focus on roles and responsibilities of nursing facilities and local authorities in identifying and providing PASRR Specialized Services.

PASRR nursing facility specialized services training

This training explains how to submit a request for pre-authorization of nursing facility specialized services in the Long-Term Care Online Portal on behalf of a resident.

To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions.

PASRR specialized services for LIDDA service coordinators

This training was created to explain local intellectual developmental disability authority and nursing facility PASRR specialized services to LIDDA service coordinators. After the successful completion of this course, service coordinators will be able to define specialized services, describe each LIDDA and nursing facility specialized service, understand how specialized service recommendations are made, make recommendations for specialized services, and understand LIDDA responsibilities to monitor all specialized services. To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions.

PASRR in the Nursing Facility

This nine-module, comprehensive free online course will provide thorough and sustainable education, information and resources that are needed to successfully complete all nursing facility responsibilities related to the PASRR process. In addition, this training will detail the complexities of caring for residents with intellectual or developmental disabilities, mental illness, or both.

This online course has been approved by HHSC for seven hours of continuing education credit for social workers, LPCs, LMFTs, LNFAs, nursing facility activity directors, QIDPs, CNAs and licensed psychology professionals.

To access and complete this free online training, visit the HHS Learning Portal, create a user login and follow the instructions. 

Instructor-led Training

For information on scheduling the following instructor-led courses, local authority staff should contact the appropriate IDD Services trainer listed in this PDF document. Note that nursing facility providers and staff are welcome to attend these trainings with permission of the office hosting the training.

PASRR for Service Coordinators

The purpose of this training is to describe the responsibilities of a LIDDA related to PASRR for people diverting from admission or transitioning from nursing facilities.

PASRR for Service Coordinators — PL1 Screening and PASRR Evaluation

The purpose of this training is to describe the initial process of PASRR and completing forms associated with this process. The goal of this training is to learn how to accurately complete the PASRR Level 1 Screening form and the PASRR Evaluation form.

Archived PASRR Webinars

The following webinars focus mainly on the roles and responsibilities of nursing facilities on a variety of PASRR topics. They are administered by HHS and are archived on the SimpleLTC site. Check back frequently as additional webinars will be posted.

PASRR: What You Need to Know Now

This webinar provides the latest PASRR training, including recent and upcoming enhancements to the PASRR program, and PASRR issues commonly faced by nursing facilities. FAQs, presentation handouts and slides are also available. Access this webinar on the SimpleLTC site.

What you Need to Know Now About PASRR

These webinars discuss the latest PASRR information directly from HHSC, including how to manage common PASRR issues and concerns at your facility, and updates to the PASRR requirements. Access this webinar on the SimpleLTC site.

PASRR IDT

This webinar discusses the PASRR Interdisciplinary Team meeting documentation requirements and the interdisciplinary team form. Access this webinar on the SimpleLTC site.

PASRR Specialized Services

PASRR specialized services include habilitative therapies, durable medical equipment and customized manual wheelchair. This pre-recorded webinar discusses the difference between rehabilitative therapy and habilitative therapy and provides examples. Access this webinar on the SimpleLTC site.

PASRR Teleconference Calls/Presentations

Webinars and/or informational calls focusing on PASRR are available for LIDDAs and nursing facilities.

PASRR Technical Assistance Calls

HHS provides a series of PASRR update webinars and/or informational calls for LIDDAs and nursing facilities. These hourlong sessions are designed to address the common questions and concerns as identified by nursing facilities and/or HHS. Register for a PASRR technical assistance call webinar or view an archived webinar.