The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

Resources

FAQ
Level II, Dementia
Jul 26, 2017
PASRR regulations at 42 CFR 483.128(m) permit Level II evaluations to be terminated if the Level II evaluator finds that individual has: “A primary diagnosis of dementia (including Alzheimer’s Disease or a related disorder)” (42 CFR 483.128(m)(2)(i)); or
FAQ
Level II, Laws and Rules
Jul 26, 2017
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.
Report
Level II, Level I, Mental Illness
Jan 27, 2016
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.
FAQ
Level II, Personnel
Jun 11, 2014
Yes, hospitals can perform Level II evaluations -- provided they have the qualified staff. In order to complete these evaluations, hospitals would first have to negotiate payment rates with the relevant state agency.
Tool
Level II
Jul 3, 2013
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.
Report
Level I, Level II
Jun 11, 2012
This report (below) presents the first systematic, empirical effort to document the design of PASRR systems in all States and the District of Columbia.
Webinar
Level I, Level II
May 8, 2012
June 2012 PASRR Webinar You can download a PDF version of the presentation slides at the bottom of this webpage. 
FAQ
Level II, Interfacility Transfer, Promising Practice
Apr 20, 2012
The key to meaningful interstate coordination is to share Level II evaluation facts rather than Level II evaluation conclusions or outcomes.
Webinar
Level I, Level II, Promising Practice
Jan 18, 2012
February 2012 PASRR Webinar You can download a PDF version of the presentation slides at the bottom of this webpage. 
FAQ
Level II, Federal Regulations, Intellectual Disability
Aug 10, 2011
According to CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
FAQ
Mental Illness, Level II, Intellectual Disability
Aug 10, 2011
All individuals applying to a Medicaid-certified NF must be screened both for mental illness and for intellectual disability. An individual who tests positive on both screens must undergo a Level II for mental illness and a Level II for intellectual disability.
FAQ
Resident Review, Level II, NF, Laws and Rules
Aug 10, 2011
No. It is illegal for NFs to perform a PAS or RR. The PAS must be performed before an individual is admitted to the NF, and must be conducted by parties unaffiliated with the NF.
FAQ
Level I, Level II, Timing
Aug 10, 2011
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.
FAQ
Change in Condition, Level II
Jun 15, 2010
No federal requirement specifically addresses this issue. A Level II evaluation is required when there is a change in a resident’s condition. When a resident is returning from a hospital stay, there may be a clear change in condition.
FAQ
Timing, Level II
Jun 15, 2010
A level II Preadmission Screen (PAS) must be completed for all applicants who meet NF level-of-care requirements, and who have been identified as having possible MI and/or ID by the Level I evaluation.
FAQ
Level II, Personnel
Jun 8, 2010
Level II involves a comprehensive evaluation of ID/MI, and a determination of the need for specialized services.
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