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Preadmission Screening and Resident Review (PASRR)

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).

Screening Levels 

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 undergo a level-of-care (LOC) assessment to determine whether they meet the necessary LOC criteria outlined in 405 IAC 1-3-1 or 405 IAC 1-3-2. Prior to any denial, individuals who do not appear to meet NF criteria receive an onsite assessment from the Area Agencies on Aging (AAA) for a final determination.

More Information

For more information about PASRR, see the Long-Term Care provider reference module. You can also find resources pertaining to the PASRR process on the Division of Aging website at

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