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​PASRR Program Information

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Pre-Admission Screening and Resident Review (PASRR) Background

The Nursing Home Reform Act was passed as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA-87), and amended by Public Law 100-203 and 101-508, creating the Preadmission Screening and Resident Review (PASRR) process.  (Refer to the Code of Federal Regulations (CFR) title 42, part 483, sections 483.100-483.138 to view PASRR regulations).

The California Department of Health Care Services (DHCS), Clinical Assurance and Administrative Support Division, PASRR Section is responsible for:

  • Preventing individuals with mental illness (MI), developmental disability (DD), intellectual disability (ID) or related conditions (RC) from being inappropriately placed in nursing homes for long term care;
  • Ensuring Medicaid nursing facility (NF) individuals with MI, DD/ID or RC receive specialized services and
  • Ensuring that these individuals have the opportunity to live in the least restrictive setting that best meets their needs.


The PASRR process consists of the Level I Screening, Level II MI Evaluation, and Determination. The Level I Screening is a tool used to identify individuals that are diagnosed or suspected of having MI or ID/DD/RC. A Level II MI Evaluation will be performed by a third party contractor if the Level I Screening triggers positive for MI. Based on the Level II MI Evaluation, DHCS will issue a Determination including treatment and placement recommendations for the individual. 

Last modified on: 3/13/2018 4:34 PM