The Preadmission Screening and Resident Review (PASRR) process is a requirement in all Indiana Health Coverage Programs (IHCP)-certified nursing facilities (NFs). All residents and prospective residents of an IHCP-certified NF are subject to the PASRR process, regardless of known diagnoses or methods of payment (Medicaid or non-Medicaid). Screening occurs prior to admission and when there is a significant change in the physical or mental condition of a resident (resident review or RR).
All applicants to Medicaid-certified NFs in Indiana are entered in the state's web-based PASRR system, and a Level I screen is completed to initiate the PASRR process. When indicated, a Level II evaluation is then performed to identify the specialized needs of individuals with mental illness (MI), intellectual or developmental disability ID/DD, or both (MI/ID/DD).
Individuals seeking Medicaid coverage of their NF stay, as well as all individuals for whom a Level II assessment is triggered and certain other populations, must also undergo a level-of-care (LOC) assessment to determine whether they meet the necessary LOC criteria outlined in Indiana Administrative Code 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 an Area Agency on Aging (AAA) for a final determination.
For more information about PASRR, see the Long-Term Care provider reference module.
Questions or issues regarding PASRR may be sent to PASRR@fssa.in.gov.