PASRR: Resources

 COVID-19 impact on PASRR

Learn how PASRR is impacted by COVID-19.

The Wisconsin Preadmission Screening and Resident Review (PASRR) process remains in place. Federal law requires that all people requesting admission to a nursing facility must be screened to determine the presence of a mental illness and/or an intellectual disability. A PASRR Level I screen must be completed on every individual entering a Medicaid certified nursing facility. An individual suspected of having a mental illness and/or an intellectual disability should be referred for PASRR Level II screen. To prevent a backlog of screens, review all current or new residents to determine if a PASRR-related condition exists. Residents may be isolated in their rooms due to the COVID-19 pandemic, which may increase symptoms of anxiety and depression. Monitor residents carefully for mental health concerns and refer them for PASRR Level II screening as needed.


These resources are for professionals involved in Preadmission Screening and Resident Review.

PASRR Level II screen referral process

As of March 1, 2020, Behavioral Consulting Services processes these screens. All referrals should be faxed to Behavioral Consulting Services. Use one of these fax numbers:

  • 262-376-0920
  • 262-376-0925
  • 262-376-0927
  • 262-376-0945

For help, call 262-376-1223 or email Do not email referrals. All referrals should be faxed.

Department of Health Services PASRR Email Address

If you have questions or concerns regarding the PASRR Level II screen process, email the Division of Care and Treatment Services. Provide information about the challenge you are experiencing and who should be contacted if a response is necessary. Identify if any health or safety risks are involved in the situation. 

Policy memos

These memos were issued by the Division of Mental Health and Substance Abuse Services (DMHSAS), the predecessor to the Division of Care and Treatment Services (DCTS). This guidance remains current and should be followed.

Rules and regulations Information and technical assistance on the Americans with Disabilities Act from the U.S. Department of Justice's Office of Civil Rights.

Information on the Civil Rights of Institutionalized Persons Act.

2009 Wisconsin Act 281 (Wis. Stat. § 50.08): Informed consent is required before administration of psychotropic medication to a nursing home resident who has degenerative brain disorder

DHS forms

Medicaid information

ForwardHealth Update 2008-43: Policy changes for PASRR Level 1 and nurse aide training/testing (PDF)

ForwardHealth Update 2009-42: Revised forms for nursing facilities (PDF)

F-01012: Reimbursement Request for a PASRR Level I Screen

Medicaid Handbook Topic #3189: Specialized Services

Nursing homes are also eligible for a $9.00 per member, per day supplement to the nursing home's daily rate for members with a serious mental illness who have been determined by the PASRR to require specialized services. Payments are made quarterly and are reflected on the nursing home's RA.

This supplemental reimbursement is available for members who are not developmentally disabled and only for those days on which the member is in the facility and receiving specialized services, so therapeutic and hospital bed hold days do not qualify. There is no supplement to the daily rate for the developmentally disabled members because of the funding sources for specialized services, including the Medicaid nursing home formula.

F-01104: Specialized Psychiatric Rehabilitation Services (SPRS) Monthly Roster

ForwardHealth Update 2017-04: New policy for nursing homes regarding developmentally disabled level of care assignments

F-01020: Nursing Home Care Determination Request


Court decisions

Wyatt v. Stickney (U.S. District Court)

Olmstead v. L.C. (U.S. Supreme Court)

National resources

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Last Revised: October 12, 2020