Preadmission Screening and Resident Review (PASSR)

In 1987, Preadmission Screening and Resident Review (PASRR) was created as a way to protect individuals with mental illness (MI), developmental disabilities (DD), or related conditions (RC) from inappropriate placement in nursing facilities. These individuals go through an intensive screening process, first to determine whether or not they have mental illness, developmental disabilities, or related conditions. Then they are evaluated again to decide whether they belong in a Medicaid-certified nursing facility. PASRR determinations must consider all possible community services first and recommend institutional placement only when appropriate. Using Federal guidelines, all of these considerations are decided on an individual basis. If an individual is admitted to a nursing facility, a specialized plan will be created to meet their unique MI/DD needs. Medicaid covers 75% of state expenditures for PASRR activities, therefore requiring the State to cover only 25%.