PASRR: Resources
These resources are for professionals involved in the Preadmission Screening and Resident Review process.
See the PASRR: County Liaisons page for contact information for county liaisons.
Rules and regulations
- PASRR Regulations (42 CFR Part 483)
- Nursing Facility Regulations (42 CFR Part 483)
- ICF/MR Regulations (42 CFR Part 483)
ADA.gov: Information and technical assistance on the Americans with Disabilities Act from the U.S. Department of Justice's Office of Civil Rights.
- Wis. Stat. ch. 46 - Social Services
- See Wis. Stat. § 46.279 regarding restrictions on placements and admissions to intermediate and nursing facilities.
- See Wis. Stat. § 46.90 regarding the elder abuse reporting system.
- Wis. Stat. ch. 50 - Uniform Licensure
- See Wis. Stat. § 50.06 regarding certain admissions to facilities.
- See Wis. Stat. § 50.08 regarding informed consent being required before administration of psychotropic medication to a nursing home resident who has degenerative brain disorder
- Wis. Stat. ch. 51 - State Alcohol, Drug Abuse, Developmental Disabilities and Mental Health Act
- Wis. Stat. ch. 54 - Guardianships and Conservatorships
- See Wis. Stat. § 54.25 regarding duties and powers of guardian of the person.
- See Wis. Stat. § 54.48 regarding protective placement and protective services.
- See Wis. Stat. § 54.50 regarding temporary guardianships.
- See Wis. Stat. § 54.52 regarding standby guardianships.
- See Wis. Stat. § 54.54 regarding successor guardian.
- See Wis. Stat. § 54.68 regarding review of conduct of guardian.
- NOTE: Prior to the effective date of this chapter, which was December 1, 2006, all court orders granted full guardianship unless otherwise specifically noted by the court; after the effective date, wards retain all rights to make decisions expect as specifically identified by the court (limited guardianship)
- Wis. Stat. ch. 55 - Protective Service System
- See Wis. Stat. § 55.001 regarding declaration of policy.
- See Wis. Stat. § 55.043 regarding adult-at-risk agency.
- See Wis. Stat. § 55.055 regarding admissions initially made without court involvement.
- See Wis. Stat. § 55.08 regarding protective services or protective placements: standards.
- See Wis. Stat. § 55.12 regarding order for protective services or protective placement.
- See Wis. Stat. § 55.13 regarding emergency protective services.
- See Wis. Stat. § 55.135 regarding emergency and temporary protective placement.
- See Wis. Stat. § 55.14 regarding involuntary administration of psychotropic medication.
- See Wis. Stat. § 55.18 regarding annual review of protective placement.
- See Wis. Stat. § 55.19 regarding annual review of order authorizing involuntary administration of psychotropic medication.
- See Wis. Stat. § 55.23 regarding patients' rights.
- Wis. Stat. ch. 146 - Miscellaneous Health Provisions
- Wis. Stat. ch. 154 - Advance Directives
- Wis. Stat. ch. 155 - Power of Attorney for Health Care
- See Wis. Stat. § 155.20 regarding powers and limitations of a health care agent.
- Wis. Stat. ch. 244 - Uniform Power of Attorney for Finances and Property
- Wis. Admin Code ch. DHS 92 - Confidentiality of Treatment Records
- Wis. Admin Code ch. DHS 94 - Patient Rights and Resolution of Patient Grievances
- Wis. Admin Code ch. DHS 107 - Covered Services
- Wis. Admin Code ch. DHS 129 - Certification of Programs for Training and Testing Nurse Aides, Medication Aides and Feeding Assistants (Appendix A)
- Wis. Admin Code ch. DHS 132 - Nursing Homes (Appendix A)
- Wis. Admin Code ch. DHS 133 - Home Health Agencies
- Wis. Admin Code ch. DHS 134 - Facilities Serving People With Developmental Disabilities (Appendix A)
Level I screens
Level I screens must be submitted prior to admission and through the ForwardHealth Portal.
ForwardHealth Update 2023-37: Preadmission Screen and Resident Review Level I Screening Submission and Reimbursement Available Through the ForwardHealth Portal (PDF)
- Preadmission Screening and Resident Review User Guide, P-03540 (PDF)
- Preadmission Screening and Resident Review: Level I Wizard
For information on how to sign up and navigate the ForwardHealth Portal, see the ForwardHealth Provider Portal Account User Guide, P-00952 (PDF).
Level II screens
Level I screens submitted through the ForwardHealth Portal identified for referral for a Level II screen will automatically be sent to Behavioral Consulting Services for review.
Behavioral Consulting Services is Wisconsin's PASRR contractor. To contact Behavioral Consulting Services, call 262-376-1223 or email info@behavioralcs.com (do not send protected health information to this email address).
Short-term exemptions
All short-term exemptions must be submitted to the approving authority prior to admission in compliance with the federal regulations.
For nursing facilities
- Nursing facilities must request county approval for all short-term exemptions using the County Review of Nursing Home, IMD, or ICF/IID Referrals, F-20822. The county liaison must fill out, sign, and date F-20822.
- Requests for F-20822 must be made prior to admission.
- Requests for F-20822 should be made by completing a Level I screen for the resident, and then printing and faxing the Level I to the PASRR county liaison.
- Once the signed F-20822 form is received, nursing facilities should upload the F-20822 to the individual’s specific PASRR ID within the ForwardHealth Level I Wizard to show the short-term exemption has been approved.
- If it is determined that the individual (who is suspected of having a mental illness and/or a developmental disability) will need to stay beyond the short-term exemption period, a Level II screen must be completed. Nursing facilities should update the individual’s existing Level I screen in the ForwardHealth Level I Wizard to indicate “Yes” to “Is the person staying longer than the permitted exemption period?” and upload the requested clinical documentation.
For county liaisons
- Nursing facilities should fax requests for approval for short-term exemptions.
- Requests use the County Review of Nursing Home, IMD, or ICF/IID Referrals, F-20822, which is filled out by the county liaisons.
- PASRR county liaisons should sign and date F-20822.
- F-20822 should be returned to nursing facilities by fax in a timely manner.
For out-of-state requests
Nursing facilities seeking 30-day recuperative care short-term exemptions for out-of-state residents can request approval by faxing the PASRR 30-Day Information Required for PASRR Exemption Letter Request, F-02784, to 608-267-7793. This form does not apply to in-state residents.
Forms
- Nursing Home Care Determination Request, F-01020
- Specialized Psychiatric Rehabilitation Services (SPRS) Monthly Roster, F-01104 (Excel)
- PASRR 30-day Information Required for PASRR Exemption Letter Request, F-02784 (PDF)
- County Review of Nursing Home, IMD or ICF/MR Referrals, F-20822
- Informed Consent for Medications - Psychotropic Medications, F-24277
- Confidential Information Release Authorization, F-82009
National organizations
Center of Excellence for Behavioral Health in Nursing Facilities
The Center of Excellence for Behavioral Health in Nursing Facilities provides support to skilled nursing facilities at every level, from the nursing staff who provide direct care to residents, to the clinical and administrative staff who interact with them.
National Association of PASRR Professionals
The National Association of PASRR Professionals seeks to improve the quality of care for individuals with mental illness or intellectual/development disabilities who apply for admission or continued residence in nursing facilities.
Need help? Email us!
If you have questions or concerns regarding PASRR, email DHSDCTSPASRR@dhs.wisconsin.gov. 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.
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