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.
PASRR Screening Levels
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 on-site assessment from an Area Agency on Aging (AAA) for a final determination.
For existing residents, LOC reviews and referrals for Level I screens and Level II evaluations can also take place as part of the Minimum Data Set (MDS) reviews that must be conducted periodically, using the resident assessment instrument (RAI), for all residents of Medicaid-certified NFs in Indiana.
More Information
Providers can request access to the state's web-based PASRR system via email at dts-das@fssa.in.gov. Questions or issues regarding PASRR may be sent to PASRR@fssa.in.gov.
Resources pertaining to the PASRR process, including the Indiana PASRR provider manual, are also available on the Indiana Division of Aging Preadmission Screening Resident Review webpage and the Maximus Indiana PASRR Tools and Resources webpage.
For more information about PASRR as it pertains to Indiana Health Coverage Programs (IHCP) members and providers, see the Long-Term Care provider reference module.