Texas Department of Aging and Disability Services
Resources for DADS service providers

Preadmission Screening and Resident Review (PASRR)

Note: Beginning May 24, 2013, all individuals seeking entry into a nursing facility must have PASRR Level 1 (PL1) screening before admission.

Preadmission Screening and Resident Review (PASRR) is a federally mandated program that is applied to all individuals seeking admission to a Medicaid-certified nursing facility, regardless of funding source.

PASRR must be administered to identify:

  • individuals who have a mental illness, an intellectual disability or a developmental disability (also known as related conditions),
  • the appropriateness of placement in the nursing facility, and
  • the eligibility for specialized services.

The PASRR process has changed in several ways. The changes are the result of the federal Centers for Medicare & Medicaid Services (CMS) directive in which corrections were identified for the Texas PASRR program. The major changes are:

  • Eliminate the role of nursing facilities in the PASRR Evaluation (PE) determination process by introducing local authorities (LA) as the party that will complete the PE.
  • Require specific, specialized services to be identified before nursing facility admission.
  • Require an automated communication to local authorities that is triggered when a Resident Review is required.

NOTE: The PL1 is completed for every individual seeking admission to a Medicaid certified nursing facility regardless of their funding source or diagnosis.

  • If the screening is positive — meaning the individual is suspected of having a mental illness, an intellectual disability or a developmental disability — the LA will complete and submit a PE within seven to 14 days, depending on the type of admission and length of stay.
  • If the screening is negative — meaning the individual is not suspected of having a mental illness, an intellectual disability or a developmental disability — the nursing facility enters the PL1 into the Texas Medicaid Healthcare Partnership Long-term Care (LTC) Online portal, and the PASRR process ends for that individual.

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Updated: August 15, 2013