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Pre-Admission ​Screening and Resident Review

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.

Training and Documents

Upcoming teleconference training sessions

For a complete schedule of training sessions, visit the PASRR Training webpage.
The schedule reflects the upcoming teleconference training sessions conducted by the PASRR team of DHCS. No registration is required. Select the day and time you are available to participate and call in by phone and enter the participant code when prompted. Please download/print all training materials prior to the training.

Please note: We highly advise that one phone line be utilized per facility during the call to minimize disruption during training.
Call in Number: 1-866-864-3239
Participant Code: 5150761

• July 1, 2019 from 1:00 p.m. - 2:00 p.m.
• July 11, 2019 from 1:00 p.m. - 2:00 p.m.
• July 19, 2019 from 10:30 a.m. - 11:30 a.m.

Training materials

  1. Level I Screening Guide (PDF) updated 9/14/18
  2. PASRR Facility Training (PDF) updated 5/24/19

For Service Requests

For service requests including: enrollment, password resets, deleting accounts, updating emails, role changes; along with any questions or concerns regarding program policy and procedure, please contact the DHCS IT Service Desk.

DHCS IT Service Desk can be reached by email or by phone:

Support is available Monday through Friday from 7:00am – 5:00pm. Requests will not be processed after business hours, weekends, or state holidays.

To Contact the TAR Office

For general questions on TAR submissions, please call 1 (800) 541-5555.


New Features 

Discover new features added to the PASRR online system.



Learn about upcoming training sessions and check out training material from the PASRR Material Library.

How to Enroll

Learn how to enroll in the PASRR online system.

​Request for Reconsideration

Request for Reconsideration of the recommendations provided in the Determination.

Setup Help

Review PASRR’s minimum browser settings and instructions on how to turn off “pop-up” blockers and open encrypted emails.


Visit the FAQ webpage for a list of Frequently Asked Questions on PASRR.  

Last modified on: 6/26/2019 1:46 PM