On November 30, 1992, the federal Health Care Financing Administration (HCFA), now the Centers for Medicare and Medicaid Services (CMS), published final rules to implement Preadmission Screening and Annual Resident Review (PASRR) requirements for all current and prospective nursing facility residents. The regulations, published at 42 CFR Parts 405, 431, 433, and 483, require an evaluation of all prospective nursing facility admissions who are suspected of having a serious mental illness or a developmental disability, regardless of their source of payment. Current nursing home residents, irrespective of their payment source, who may have a mental illness or a developmental disability, are also required to be evaluated if they experience a significant change in condition. A change in federal law effective October 19, 1996, replaced the annual resident review requirement with this requirement.
PASRR requirements apply only to Medicaid-certified nursing facilities, and do not apply to Medicare-only skilled nursing facilities (SNFs), intermediate care facilities for individuals with intellectual disabilities (ICFs/IID), or community-based residential facilities (CBRFs).
Purposes of PASRR
- Evaluate individuals seeking admission to nursing facilities and current nursing facility residents to determine if they have a serious mental illness or a developmental disability.
- Identify the individual’s strengths and needs.
- Determine if the individual needs specialized psychiatric rehabilitation services to address his/her mental illness issues or specialized services to address his/her mental illness or developmental disability issues.
- Determine if the individual needs placement in a nursing facility versus placement in an inpatient psychiatric hospital, institution for mental diseases (IMD), intermediate care facility for individuals with intellectual disabilities (ICFs/IID), or a community setting (e.g., group home).
- Notify the client or the client’s legal representative and other appropriate parties of the results of the evaluations and the determinations.
For More Information
Division of Care and Treatment Services
Wisconsin Department of Health Services
1 West Wilson Street, Room 851
P. O. Box 7851
Madison, WI 53707-7851
608-266-7072 - Desk
608-267-7793 - Fax
Behavioral Consulting Services
1533 Wisconsin Avenue
Grafton, WI 53024
262-376-1224 - Office
262-376-0928 or 262-376-0948 - Fax