Pre-Admission Screening and Resident Review (PASRR) Level II Process

Pre-Admission Screening and Resident Review (PASRR) Level II Process A. The Division of Medicaid requires any person admitted to a Medicaid certified nursing facility (NF) have a completed Pre-Admission Screening and Resident Review (PASRR) Level II prior to admission to the NF if the PASRR Level I indicated that the person had a mental illness (MI), intellectual disability/developmental disability (ID/DD), and/or a related condition (RC) unless that person has an approved documented advanced group determination. B. The hospital transferring or nursing facility (NF) admitting the person must electronically complete and submit the PASRR Level I located in the Envision web portal prior to the NF admission. The completed PASRR must be faxed to the Division of Medicaid if the provider is not a Mississippi Medicaid Provider. C. The Division of Medicaid’s PASRR Contractor is responsible for: 1. Reviewing all PASRR Level I which indicate MI, ID/DD and/or a RC, 2. For MI, determining if a face-to-face assessment or an on-the-record review is the most appropriate in completing the PASRR Level II and making a recommendation for NF placement and any specialized services required to the MI Appropriateness Review Committee (ARC) within five (5) business days, 3. For ID/DD, notifying the Department of Mental Health’s (DMH’s) ARC within five (5) business days of receiving a referral of any PASRR Level I which indicates an ID/DD and/or a RC. 4. Determining if a PASRR Level II is required for a change of condition. D. DMH’s ARC is responsible for: 1. Reviewing any PASRR Level I which indicates ID/DD and/or a RC, 2. Determining if a face-to-face assessment or an on-the-record review is the most appropriate in completing the PASRR Level II, and 3. Forwarding the final recommendations to the State PASRR Coordinator at the Mississippi State Hospital within two (2) business days of receipt. E. The MI ARC is responsible for: 1. Reviewing the PASRR Level II recommendations from the Division of Medicaid’s PASRR Contractor, 2. Making any changes to the recommendations received, and 3. Forwarding the final recommendations to the State PASRR Coordinator at the Mississippi State Hospital within two (2) business days of receipt. F. The State PASRR Coordinator is responsible for submitting the recommendations to the designated State Intellectual Disabilities Authority Representative for the final decision on NF placement and required specialized services who must make the final determination within seven (7) to nine (9) business days from the date of the original PASRR Level I submittal triggering a PASRR Level II. G. The NF must complete and submit a PASRR Level II State Request Form to the Division of Medicaid’s PASRR Contractor when a significant change in the person’s physical, mental, and/or emotional condition becomes apparent.