The North Carolina Nursing Facilities Tracking Form is a mechanism used to monitor
location and due date information to assure timely PASRR assessments for persons with
SMI, MR or RC and must be submitted for these Level II residents if:
- a Level II resident transfers to another Medicaid-certified facility
- Level II resident expires
- a Level II resident is discharged from the nursing facility system
First Time Admission
The North Carolina Nursing Facilities Tracking Form has been included within the Uniform Screeing Tool and is only
availalbe trough online access. This tracking mechanism indicates to the PASRR contractor
that an applicant has been admitted to a Medicaid-certified nursing facility.
Level I and, if applicable, Level II results must be kept in the individual's medical
records so they are available to the facility's care planning team and to state or federal
Both Level I and Level II information must be transferred with the resident upon transfer to
another Medicaid-certified nursing facility. Unless there is a change in mental status, no
further contact with the PASRR contractor is required for residents who are not subject to
the PASRR Level II process. Receiving facilities must report admission of a resident
who has been screened by the Level II process through the aforementioned Uniform Screening Tool online application.
Residents already In Level II Process
Discharge means that the resident has either been placed in a less restrictive setting than the
nursing facility or the resident no longer resides in a Medicaid-certified nursing facility bed.
For example, if a nursing facility has adult care home beds and the Level II resident transfers
to the adult care home level of care, he/she is no longer subject to PASRR, and the
PASRR contractor should be notified of that discharge. The adult care home level of care,
even if the adult care home beds are part of a Medicaid-certified nursing facility, is not
subject to PASRR requirements.