The Preadmission Screening and Resident Review (PASRR) process is a requirement in all Indiana Health Coverage Programs (IHCP)-certified nursing facilities (NFs). All residents of an IHCP-certified NF are subject to the PASRR process, regardless of known diagnoses or methods of payment (IHCP or non-IHCP). Screening occurs prior to admission or when there is a significant change in the physical or mental condition of a resident (resident review or RR).
All IHCP and non-IHCP applicants to IHCP-certified NFs are entered in the State's web-based PASRR system, and a Level I screening is completed to initiate the PASRR process. Individuals seeking Medicaid coverage of their NF stays (whether they now reside in an NF or are seeking NF placement), and individuals for which a Level II assessment is triggered, must also have a level-of-care (LOC) assessment completed to determine whether the individual meets the necessary LOC criteria outlined in 405 IAC 1-3-1 or 405 IAC 1-3-2. The Area Agencies on Aging (AAA) performs on-site assessments for individuals who do not appear to meet NF criteria for a final determination prior to any denial.