Preadmission Screening and Resident Review

Preadmission Screening and Resident Review (PASRR) ensures sure that people are placed in the appropriate environment when they need intensive treatment and services.

In brief, PASRR requires all applicants to Medicaid-certified nursing facilities be assessed to determine whether they might have an intellectual disability or mental illness. This is called a Level I screen. The purpose of a Level I screen is to identify individuals whose total needs require that they receive additional services for their intellectual disabilities or serious mental illness. Individuals who test positive at Level I are then evaluated in depth to confirm the determination of an intellectual disability or mental illness for PASRR purposes. This is a Level II screen. This assessment produces a set of recommendations for necessary services that are meant to inform the individual's plan of care.

New PASRR Level II screen contractor

The Wisconsin Department of Health Services has completed a required procurement process to select a partner to assist in the fulfillment of PASRR Level II screens. Effective March 1, 2019, there is a new contractor for Wisconsin PASRR Level II screens. 

Through February 28, 2019, continue to submit referrals for PASRR Level II screens to:
Behavioral Consulting Services, Inc.
1533 Wisconsin Avenue
Grafton, WI 53024
262-376-1224 (Office)
262-376-0928 or 262-376-0948 (Fax)

All PASRR Level II screens underway by Behavioral Consulting Services as of February 28, 2019, will be completed by Behavioral Consulting Services.

Beginning March 1, 2019, submit all referrals for PASRR Level II screens to:
MAXIMUS Health Services
Wisconsin PASRR Division
840 Crescent Centre Drive, Suite 400
Franklin, TN 37067
877-431-1388, ext. 3480, or WIPASSR@MAXIMUS.com (Help desk)

Submit PASRR Level II referrals to MAXIMUS by fax at 877-431-9568 with “Attn: WI PASRR” on the cover sheet. 

Previously completed PASRR Level II screens remain valid.  

This change only impacts the PASRR Level II screen process. Staff in the Division of Care and Treatment Services will continue to handle hearing information, out of state exemption letters, and misplaced screens. 

 

PASRR regulations

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 are published at 42 CFR Parts 405, 431, 433, and 483.

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 intellectual 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 intellectual 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

Donna Wrenn
PASRR Administrator
Division of Care and Treatment Services
608-266-7072 - Desk
608-267-7793 - Fax

Last Revised: February 13, 2019