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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 a Medicaid Certified Nursing Facility or Adult Care Home regardless of the source of payment. Please see the specific informaition below for each program.

image Nursing Facility

As of January 1989 and as a result of the Omnibus Budget Reconciliation 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...

image Adult Care Home

PASRR Assessments are required prior to the admission of Medicaid beneficiaries to Adult Care Homes. The North Carolina PASRR Medicaid Level I screening form must be completed by an independent screener who is a healthcare professional. This provision is in accordance with NC DHHS DMA Clinical Policy 3L. "3.2.3 Medicaid Additional Criteria Covered b. Screening for Serious Mental Illness (SMI) in Adult Care Homes licensed under G.S. 131D - 2.4. Effective January 1, 2013, all Medicaid beneficiaries referred to or seeking admission to Adult Care Homes licensed under G.S. 131D -2.4 must be screened through the Pre-admission Screening and Resident Review (PASRR). Adult Care Home providers licensed under G.S. 131D -2.4 shall not receive PCS prior approval without verification of an ACH PASRR number." NC Division of Medical Assistance Medicaid and Health Choice State Plan Personal Care Services (PCS) Clinical Coverage Policy No: 3L Amended Date: November 1, 2015.
Learn More About PASRR for Adult Care Home...

About the Program

The Division of Medical Assistance (DMA) has implemented an Internet-based screening tool to manage the NC Preadmission Screening and Resident Review(PASRR) Program. The online system went live on November 3, 2008 and allows referring and admitting agencies to manage PASRR screens throughout the entire screening 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 and provides the interfaces to achieve operational uniformity throughout the screening process. DXC Technology has been chosen by the DMA to act as the PASRR Contractor and coordinate the aforementioned screening processes.

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