This report (below) presents the first systematic, empirical effort to document the design of PASRR systems in all States and the District of Columbia. Staff from the PASRR Technical Assistance Center (PTAC) reviewed States policies and procedures kept on file by PASRR Coordinator in CMS Regional Offices. Documentation was collected in late 2009; the results of this review therefore represent a snapshot of PASRR systems design at that time. This review does not capture any information on the implementation of these programs.

The PTAC review team continues to collect State feedback and additional documentation and plans to incorporate this information into its findings. Some States have undertaken dramatic systems change since the documents were first obtained from the Regional Offices in 2009. Specifically, the following states will be reassessed for the subsequent version of this report: Arkansas, Florida, Georgia, Idaho, Iowa, Maine, Massachusetts, Missouri, Montana, Nevada, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, South Dakota, Tennessee, Texas, Utah, Washington, and Wyoming. Future versions of this report will capture those systems changes.