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May 14, 2019

Key Differences Between PASRR Level I Preliminary Screens and PASRR Level II Evaluations

A PDF copy of the presentation slides is available below.

All individuals who apply to reside in a Medicaid-certified nursing facility, regardless of payer, are required to receive a Level I PASRR screen to identify mental illness or intellectual disabilities. If an individual is suspected to have mental illness or an intellectual disability, a Level II evaluation is conducted to confirm this. A Level II must not merely rubber stamp the outcome of the Level I. Rather it must “look behind” the diagnosis of record to identify the “true” diagnosis. This presentation will further discuss the relationship between Level I and Level II evaluations and highlight common misconceptions as well as promising practices.


Ed Kako, Director of PTAC

For over 10 years, Dr. Edward Kako has specialized in projects aimed to improve the availability, accessibility, and sustainability of home and community-based services (HCBS) throughout the country. In his capacity as Senior Associate at Mission Analytics Group, he has directed projects to provide technical assistance around a variety of HCBS programs, primarily those financed by Medicaid. Currently he is Mission Analytics’ Project Director for TA to states working to comply with the HCBS Settings Rule. He currently serves as the Director of the PASRR Technical Assistance Center.

Acknowledgment of Commercial Support

There was no commercial support received for this CME activity.

Bibliographic Sources: Please see presentation slides

Copyright: All faculties in this activity have given their permission for publication.

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