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 (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), Intellectual or Developmental Disabilities (IDD), and/or
related conditions (RC) entering or residing in Medicaid-certified Nursing Facilities receive
appropriate placement and services.
Learn More About PASRR for Nursing Facilty...
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.