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Preadmission Screening and Resident Review (PASRR)

PASRR is a federally mandated program (42 CFR 483.100) that requires all individuals be screened prior to admission to a Medicaid certified nursing facility (NF), regardless of payer source. The purpose of the screening is to identify individuals with a diagnosis or suspicion of serious mental illness (SMI) or intellectual disability or related conditions (ID) to confirm appropriate placement in the least restrictive environment and identify specialized services the individual may need.

The Florida Agency for Health Care Administration (AHCA), as the single state Medicaid agency, is responsible for PASRR policy. AHCA delegates parts of the process to multiple other state agencies. CARES is the delegate for performing Level I PASSR screenings on all adults. If a diagnosis or suspicion of SMI or ID is found, CARES is responsible for requesting a Level II screening from AHCA’s delegate for completing Level II screenings, which is currently KEPRO.

For more information or to download forms, please visit AHCA’s PASRR website at http://ahca.myflorida.com/Medicaid/PASRR/index.shtml.

Questions for CARES should be directed to your local CARES office. A directory is available on the menu to the left of this page.

Please note the PASRR screening is separate from a CARES medical needs assessment, which most often occurs after a person applies for Medicaid, and is a required step to qualify for Medicaid long-term care assistance.

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