top of page

TOPIC: LEVEL I

A PASRR Level I screen must be completed for all applicants to a Medicaid-certified nursing facility, regardless of the individual's payer source, and must be completed before a resident can be admitted into a nursing facility. Each state’s Medicaid agency designates who may perform Level I screens and is ultimately responsible for providing oversight for this process. This section contains Level I resources for state PASRR programs.

CMS PTAC RESOURCES

Who can complete a Level I screen?

January 26, 2018

FAQ

Federal regulations governing PASRR do not specify restrictions on who can conduct Level I screens.

Screens to Detect Common Behavioral Health Conditions

June 13, 2017

Webinar

This presentation will define the prevalence of behavioral health (BH) conditions in our culture, address frequently occurring co-morbid health conditions that often obscure their detection and subsequent treatment, and introduce validated screening tools that are successfully used to detect many BH conditions across settings. Appropriate times and environments to utilize the screenings will be discussed with a particular emphasis on the potential value of integrating BH screenings into PASRR Level I evaluations.

Long-Term Care Ombudsman Programs: Opportunities for Collaboration

March 8, 2016

Webinar

Long-term care ombudsman programs resolve hundreds of thousands of complaints every year on behalf of long-term care facility residents. The largest group that requested ombudsman assistance in resolving complaints were residents themselves, indicating that residents depend on ombudsmen to help them resolve their concerns. Participants will learn about the role of the Ombudsman, common problems experienced by nursing home residents and resolution strategies employed by Ombudsman programs, including partnerships and systemic advocacy.

2015 National Report: Level I Tools and MDS

February 26, 2016

Report

The enclosed 2015 report (below) updates the 2014 Review of State Preadmission Screening and Resident Review (PASRR) Policies and Procedures. The report was prepared by the PASRR Technical Assistance Center (PTAC), under contract to CMS. The results of this review presents a snapshot of PASRR programs as of September 2015, with a primary focus on the comprehensiveness of Level I tools and an analysis of Minimum Data Set (MDS) data. The survey does not capture any aspects of program implementation or performance.

Tools to Detect Common Mental Health and Substance Use Disorders: A Compendium and Review

January 27, 2016

Report

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. An excellent resource for program staff and assessors looking for new tools to augment their Level I screening tools or Level II evaluation tools.

Quality Improvement and PASRR

December 8, 2015

Webinar

This presentation provides an overview of quality improvement frameworks, principles, and tools that PASRR program authorities can use to monitor and assess their programs. Discussion includes keys to implementing quality improvement activities and mapping quality improvement activities to state initiatives and goals.

© Copyright 2025 CMS PTAC

bottom of page