North Carolina Pre-Admission Screening and Resident Review (PASRR)
Who is subject to PASRR Screening?
The PASRR is a required screening of any individual who is being considered for admission into
Medicaid Certified Nursing Facility or Adult Care Home
regardless of the source of payment.
Please see the specific informaition below for each program.
As of January 1989 and as a result of the Omnibus Budget
Act (OBRA) of 1987 (P.L. 100-203), the PASRR program for Nursing Facilities became a federal statutory requirement (see 42 CFR
483 Subpart C) that mandates the review of every individual who applies to or resides in a
Medicaid-certified Nursing Facility, regardless of the source of payment for Nursing Facility services. This section of OBRA was
enacted to assure that individuals with serious mental illness (SMI), mental retardation (MR), and/or conditions
related to mental retardation (RC) entering or residing in Medicaid-certified Nursing Facilities receive
appropriate placement and services.
Learn More About PASRR for Nursing Facilty...
Adult Care Home
As of March 1, 2013, the adoption of temporary rule 10A NCAC 14K .0101 requires that any Adult Care Home licensed under
G.S. 131D-2.4 must assure that Prior to Admission, any individual admitted to the home for care and
services has a pre-admission screening using the North Carolina PASRR Medicaid Level I screening form,
completed by an independent screener who is a healthcare professional.
Learn More About
PASRR for Adult Care Home...
Any authorized community member who is not a legal representative of the individual being screened, and is not
employed or paid by, or affiliated with a licensed ACH can complete the ACH PASRR Level I.
Adult Care Homes themselves cannot complete the Level I PASRR Screen. At the request of the Adult Care Homes, in
order to expedite processing of the screenings, The N.C. Department of Health and Human Services (NCDHHS) has agreed
to use a paper process in addition to the Web-based screening process to ensure that the Level I screenings are
completed expeditiously. As a rule, the online tool will be utilized. However, in the event individuals have
difficulty finding a provider who will use the online process, the paper process described below may be utilized.
For example, as the person who knows an individual's medical history best, it is anticipated that primary care
physicians will be requested to complete the PASRR. A physician's office may complete a paper form if desired and
then the electronic submission of the form can occur at the Adult Care Home as long as a copy of the paper form with
physician signature is uploaded along with the Web-based submission (see "Getting Started Paper Process" below for
Get Started Today...
of Medical Assistance (DMA)
has implemented an Internet-based screening tool to manage the NC Preadmission Screening and Resident
Program. The online system went live on
November 3, 2008 and allows referring and admitting agencies to manage PASRR screens throughout the entire
process. This self service application
uses and automated decision service to establish the appropriate PASRR level and usually within a few
seconds, providers will receive a real-time response with the assigned PASRR number.
The automation built into the online tool will help streamline and secure your human-centric business process
interfaces to achieve operational uniformity throughout the screening process.
HP Enterprise Services has been
chosen by the DMA to
the PASRR Contractor and coordinate the
aforementioned screening processes.