Are you a person or family member of someone with mental illness and/or intellectual and developmental disabilities who has service and support needs, or a caregiver who provides help to a person with these same needs? If so, you can learn about the Preadmission and Screening Review process below.
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:
- To identify people, including adults and children, with mental illness, and/or IDD.
- To ensure appropriate placement, whether in the community or the nursing facility.
- To ensure people receive the required services for mental illness, and/or IDD.
- Step 1: PASRR level 1 screening (PL1) form
- A PL1 is required when a person is seeking admission into a Medicaid-certified nursing facility, whether from the community, a hospital, or another nursing facility. The PL1, normally is completed by the person or entity referring them for nursing facility placement, will identify people suspected of having mental illness or IDD. As a family member or caregiver, you might also be the referring entity who completes the PL1.
- If a suspicion is recorded, the process continues in Step 2. If there is no suspicion, the process ends.
- Step 2: PASRR evaluation form
- The PASRR Evaluation is conducted by a qualified and impartial reviewer if the initial PL1 screening records a suspicion that person might have mental illness and/or IDD.
- People confirmed to have mental illness or IDD are evaluated to determine the need for specialized services and appropriate placement options.
- Step 3: Interdisciplinary team meeting — for people with a positive PASRR Evaluation
- You, as a person and/or your family member or caregiver, are an important part of the interdisciplinary team.
- Your team also includes:
- Nursing facility staff
- LIDDA and/or LMHA/LBHA staff
- Professionals who provide services identified in your plan of care
- The purpose of the interdisciplinary team meeting is to discuss and agree on:
- Services and supports
- Appropriate living environment
PASRR Specialized Services and Supports
People with a positive PASRR Evaluation are eligible for a variety of specialized services and supports.
- Nursing facility services and supports for people with intellectual and/or developmental disabilities include but are not limited to:
- Durable medical equipment
- Habilitative therapies (such as speech therapy, physical therapy or occupational therapy)
- LIDDA services and supports for people with IDD include but are not limited to:
- Independent living skills
- Day habilitation
- Habilitation coordination
- LMHA/LBHA services and supports for persons with mental illness include but are not limited to:
- Skills training
- Psychosocial rehabilitation
These services will be explained in full during the PASRR Evaluation process and during the interdisciplinary team. To learn more, visit the LMHA/LBHA PASRR webpage or the PASRR Specialized Services Providers webpage.
What are the available living options through PASRR?
- Living options for PASRR positive people with IDD include:
- Intermediate Care Facilities: Six-bed homes in the community.
- State Supported Living Centers: Large facilities for people with high needs.
- Community First Choice: Attendant and habilitative services in their own or family home.
- Home and Community Based Services: Attendant and habilitative services in their own or family home, host home or group home.
- Texas Home Living: Attendant and habilitative services in their own or family home.
- Community Living Assistance and Support Services Program: Attendant and habilitative services in their own or family home.
- Deaf Blind with Multiple Disabilities Program: Recipients can live in their own home, family home or in a group home of no more than six people.
- For PASRR positive people with mental illness:
- If there is a housing need for people with mental illness, your LMHA/LBHA can discuss how those needs can be met.
Locate your local LIDDA or LMHA/LBHA
Do you have more questions or want to learn more?
Find out whom in your area you can contact for help by locating your local LIDDA or LMHA/LBHA.
Contact HHS about PASRR
For IDD support contact PASRR Support.