Pre-Admission General Rule. Under 42 CFR §483.102 (a), the PASRR process applies to all Medicaid-certified nursing facility (NF)
There is no federal requirement that a Level II evaluation be completed prior to the individual returning to the nursing facility (NF).
According to 42 CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
There is a common misconception about this. The simple answer is "no" -- a test of intellectual functioning (IQ test) is not required by PASRR regulations.
The CFR does not specify how quickly Level I's must be completed, and with good reason: There is no baseline against which to establish timing requirements.
All individuals applying to a Medicaid-certified nursing facility (NF) must be screened for both mental illness and intellectual disability.
No, a nursing facility cannot perform a Level II pre-admission evaluation or resident review. 42 CFR §483.106(e)(iii) prohibits nursing facilities (or any entity th
Level II evaluations for individuals with intellectual disabilities and/or related conditions:
Since the ICD-10-CM coding went into effect on October 1, 2015, some State PASRR programs have reported an increase in PASRR volume, particularly in referrals for Level II Resident Reviews. The increase is largely attributed to the computer algorithm that converted ICD-9 codes to ICD-10 codes.
Richard Sanderson, a PTAC consultant, reviews a variety of tools to detect common mental health and substance use disorders, most of which are in the public domain. Sanderson categorizes the tools according to how long they take to administer, along with their strengths and weaknesses.
Presented and attached below are Level II evaluation tools currently used in four states: Missouri, Nevada, North Carolina, and Tennessee. Some tools are specific to one population (e.g. individuals with ID) whereas other tools are used to assess more than one population (e.g.
This report (below) presents the first systematic, empirical effort to document the design of PASRR systems in all States and the District of Columbia.
June 2012 PASRR Webinar You can download a PDF version of the presentation slides at the bottom of this webpage.
February 2012 PASRR Webinar You can download a PDF version of the presentation slides at the bottom of this webpage.