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Preadmission Screening and Resident Review (PASRR) Medicaid's Level I screening tool. Impacts more than one area of the persons health status. Home, DHS Only LIDDA, LMHA, LBHA, or NF can submit the PL1 Screening form in the LTC online portal. 100-203). Knowledge of and ability to use screening and assessment tools for behavioral health services. AND RESIDENT REVIEW (PASRR) LEVEL I SCREENING TOOL 680-C, Attachment A - Page 1 of 5 Initial PASRR identification and evaluation must take place prior to admission to a Medicaid certified nursing facility (NF). Phone: 360-725-1478. NF Admissions for Respite Stay Individuals being admitted to a Medicaid-certified NF for a county or state-approved respite stay can be exempt from the Level II evaluation and Determination utilizing Categorical Determinations. NPI/API A0510. To update demographic information please contact our NC MUST helpdesk at 919-813-5603 (Direct) / 888-245-0179 (Toll Free). Kepro's PASRR program provides protections that align with federal and state laws under the Americans with Disabilities Act (ADA) to ensure that anyone with a serious mental illness, intellectual disability or a related condition is served in the least restrictive setting. To inactivate a PL1 screening form, the LIDDA, LMHA and LBHA must: If the applicable Section E tab fields are not completed for a PL1 screening form submission or updated for a discharge, the PL1 screening form submission or update will not submit. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the The NF enters the PL1 into the LTC online portal upon the persons admission. Categorical Convalescent Care admissions are timed stays. If Section E fields E0100-E0400, or any other required field of the PL1 screening form, is not completed, the LIDDA, LMHA, or LBHA should contact the RE for the information needed to complete the required fields. The Level II evaluator confirms whether the individual has SMI and/or ID/DD and, if so, whether the individual requires a nursing facility level of care and specialized services. In instances where the individual was previously identified by PASRR to have serious mental illness, intellectual disability or a related condition, the nursing facility staff completes the North Carolina Level I Screening Form and submits it via the NCMUST. Date of Assessment A0700A. MAP-409 PASRR Level I Screen Instruction Sheet; Role of Nursing Facility Staff in the Preadmission Screening and Resident Review (PASRR) Process - PDF; (973) 693-5058 PASRR Level 1 Screening, August, 2021, V.3 . Your feedback helps us improve! Extraordinatry Funding Worksheet 1.24.17: XLSX: 56.25 KB: 14 Apr, 2021: Download: Guides and Worksheets 10.03.2016: PDF: 141.50 KB: . First time admission to a Medicaid-certified nursing facility. PASRR Level I Process The person may not be admitted to a NF until the LIDDA, LMHA, or LBHA completes a PE. If the documentation is not sufficient to . A pre-admission screening and resident review, commonly called a PASRR, is a comprehensive evaluation that ensures people who have been diagnosed with serious mental illness, intellectual, and/or developmental disabilities are able to live in the most independent settings while receiving the recommended care and interventions to improve their Position/Title A0400. An individual whose significant change is physical, but with behavioral, psychiatric or mood-related symptoms, or cognitive abilities that may influence adjustment to an altered pattern of daily living. If there are differences between the English content and its translation, the English content is always the most The use of a Level 1 and Level 2 screening and evaluation is known as the Preadmission Screening and Resident Review (PASRR) process. Services A copy of the FL2 documenting diagnosis, dated within the last 30 days and signed by a physician (MD or DO). (732) 777-4650 including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. Information must be entered in the tracking module for individuals who have received a Level II authorization if any of the following apply: FL2 The following information will be required: Level I screens do not apply to the following individuals: As a result of the manual review of the Level I screen, the following outcomes may occur: Negative Finding: If after the manual review there is no indication of SMI, I/DD, RC andthe individual is determined not to meet the target population, an "A" alpha character at the end of the PASRR review number will be assigned. Missouri Department of Health & Senior Services, New LOC Process Training - Level One Form, New LOC Process Training - NF Level of Care Assessment, New Online Process - Questions and Answers, Updated Online Process Training (Nov 2022), DA 124 Application Request Form (Sunshine Request), Hospital to Skilled Nursing Facility Flowsheet, Intellectual Disability and Developmental Disabilities Sheet, Special Admission Category Referral (08/2020), What to Submit to COMRU for client entering a Skilled Nursing Facility, Missouri Alzheimer's State Plan Task Force, Home and Community Based Services Provider Information, Medicare Improvement for Patients and Providers Act (MIPPA), Missourians Stopping Adult Financial Exploitation (MOSAFE), Nondiscrimination Notice (Translations Available). This section provides an overview of the PL1 Screening and its role in the PASRR process. NCMUST will provide the facility with a NC Medicaid PASRR authorization for the screened individual regardless of payor source. Middle Initial A0200B. Individuals applying for admission to a Medicaid certified nursing facility (NF) regardless of funding as per the Federal regulations are required to have a PASRR Level I screening prior to admission to the NF in order for a state to receive federal financial participation for Medicaid reimbursement of nursing home care. An individual who has been transferred, admitted or re-admitted to a nursing facility following an inpatient psychiatric stay or equally intensive treatment. Fax: (609) 341-2307 Important Reminder: The state of Alabama requires all out of state nursing facilities to complete an, PASRR Guidance for Psychotropic Medications and Medical Conditions, Termination of the COVID-19 PHE & PASRR 1135 Waiver, New Online Registration for Understanding the PASRR Process, Is applying for admission into an Alabama Medicaid certified nursing home, Is discharged from an Alabama Medicaid certified nursing home into the community for more than 30 days, Is transferring from an out of state nursing home to an Alabama Medicaid certified nursing home, Increased psychiatric, mood-related or behavioral symptoms of individuals with a MI/ID/RC diagnosis, Has never been evaluated through the PASRR process, but exhibits signs, symptoms and/or behaviors Lila PM StarrIowa Department of Human ServicesDivision of Mental Health and Disability ServicesBureau of Community Services & Planning1305 E. Walnut Street, 5th Floor SEDes Moines, Iowa 50319-0114Phone: 515-281-5318Fax: 515-242-6036Email:lstarr@dhs.state.ia.us, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Community Mental Health Services Block Grant, http://www.pasrrassist.org/resources/pasrr-plain-english, Confirm or disconfirm the results of the Level I screen, and. Provider No. All rights reserved. Newark OfficeforBergen, Essex, Hudson counties 4. For detailed instructions on how to register please contact our NC PASRR helpdesk at 919-813-5603 (Direct) / 888-245-0179 (Toll Free). 25. PREADMISSION SCREEN AND RESIDENT REVIEW (PASRR) LEVEL I SCREEN This form is required under sections 42 USC 1936r(b)(3)(F) and 1396r(e)(7). The North Carolina Medicaid Uniform Screening Tool (NCMUST) user interface allows referring and admitting agencies to communicate and manage PASRR screens in a self-service application. If the applicant does not have a SSN, you are required to contact the NC PASRR helpdesk to obtain a USP ID which will be used in place of a SSN. New LOC Process Training - NF Level of Care Assessment Screening Form submission. Preadmission Screening and Resident Review (PASRR) is a federal requirement under Section 1919(e)(7) of the Social Security Act and Chapter 42 of the Code of Federal Regulations, Sections 483.100 through 483.138. 131D; Article 1 must be . This may result in a referral for a Level II evaluation. Positive Finding: If after the manual review, SMI, I/DD or RC is suspected, a referral for a Level II evaluation will occur. Instructions: This screening must be completed for all persons applying for admission to a Medicaid certified nursing facility regardless of payment source. (609) 584-1340 The Office of Community Choice Options manager will walk the referrer through the process. Yes No 1. However, the tracking module located in NCMUST should be used to report the transfer of these individuals. How do I update my information on the NC Medicaid Uniform Screening Tool (NC MUST) website? NC Medicaid refers the individual for a Level II evaluation. MI/ID/RC diagnosis, A Significant Change is required for MI/ID/RC residents who were approved under a, Individuals with MI/ID/RC who have been re-admitted to a nursing home following a hospital NCMUST uses an automated decision service to establish the appropriate PASRR level. Frequently Asked Questions Facility to another Alabama Medicaid Certified Nursing Facility with or without an intervening hospital stay. Discharge from the nursing facility system. The tips below will help you fill out GA DMA-613 easily and quickly: Open the template in our full-fledged online editor by hitting Get form. Acute Care and Rehabilitation Hospitals It is necessary for the hospital discharge planner to initiate the completion of the Level I PASRR Screening Tool for all discharges to a Medicaid certified NF. discharging nursing home is responsible for ensuring that a copy of the PASRR documentation A to Z. A Level I screen and, when required, a Level II evaluation is performed prior to nursing facility admission. NF Admissions from the Community NF staff must coordinate the completion of the Level I PASRR Screening Tool for all admissions to a Medicaid certified NF. There are two levels to the PASRR process 1) screening and 2) evaluation and determination. Exempted Hospital Discharge- Individuals discharged from an acute hospitalization directly to a NF for continued treatment of a condition expected to require less than 30 days of admission may exempt from PASRR requirements with physician certification. It is the severity and recency of impairment that matters, not whether the individual was hospitalized or even saw a mental health professional. Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. Attach the PASRR certificate, PASRR Level 1 screening tool or Physician's Orders reflecting the need for behavioral health services. The referral source submits the North Carolina Level I Screening Form via NCMUST. Southern Regional OfficeServing Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Monmouth, Ocean and Salem Counties. Generally speaking, the intent of PASRR is to ensure that all NF applicants are thoroughly evaluated, that they are placed in nursing facilities only when appropriate, and that they receive all necessary services while they are there. NCMUST uses an automated decision service to establish the appropriate PASRR level. The selected candidate be responsible for administering PASRR (Pre-Admission Screening & Resident Reviews) evaluations for all individuals having or suspected of having an intellectual disability or other related developmental disability pursuant to federal law that are seeking admission . If the individual is on Medicaid, either in New Jersey or another state, or will be Medicaid eligible in 180 days, the referring facility must contact the appropriate Office of Community Choice Options Regional Field Office at the number below and request an Out-of-State packet. documentation exists and that it is An individual who experiences an improved medical conditionsuch that the individuals plan of care or placement recommendations may require modification. A person in this category with a positive PL1 only requires a PASRR evaluation if their stay in the NF exceeds 30 days. The Texas Health and Human Services Commission made these system changes to ensure that the persons alternate placement disposition is documented and available on the LTC Online Portal at the time of discharge. Secure websites use HTTPS certificates. A federally required screening of any individual who applies to, or resides in, a Medicaid-certified nursing facility, regardless of the source of payment. A USP ID or Uniform Screening Program Identification is a unique identifying number assigned by the NC MUST application for an individual being screened. A significant change in condition applies to individuals previously identified by PASRR and individuals who may not have been identified as having a SMI, I/DD or RC condition at the time of admission. A final determination is made by DMH/DD/SAS and a PASRR authorization is assigned. to the safety or welfare of self or others. translation. The PL1 Screening form is designed to identify people suspected of having an MI, ID, or DD who are seeking admission to a NF. If the Level I is negative, then the individual can be admitted to the NF. NOTE:AILURE TO TIMELY COMPLETE THE PASRR PROCESS WILL RESULT IN FORFEITURE OF MEDICAID F REIMBURSEMENT TO THE NF DURING PERIOD . This form must be completed for all applicants PRIOR TOnursing facility (NF) admission in accordance with Federal PASRR Regulations 42 CFR 483.106. . Preadmission Screening and Resident Review (PASRR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. NC Medicaid uses an Internet-based screening tool to manage the PASRR Program. an identification tool to classify individuals that may have MI/ID/RC diagnoses. An individual whose intellectual disability as defined under 42 CFR 483.102, or whose related condition as defined under 42 CFR 435.1010, was not previously identified and evaluated through PASRR. A screener is the individual who initiates the PASRR Level I screening in NCMUST, An official website of the State of North Carolina, Pre-Admission Screening and Resident Review (PASRR), NCMUST Log in/Technical Help and User Support, Omnibus Budget Reconciliation Act (OBRA) of 1987 (P.L. Pre-Admission Screening and Resident Review (PASRR) Level I Screening Tool: pdf doc : Instructions pdf doc PowerPoint pdf : LTC-29: Notice of Referral for Level II Pre-Admission Screening and Resident Review (PASRR) Evaluation: pdf doc : LTC-34: Replaced by the EARC-3 Form (see above) LTC-36 Notice: Inter-facility Transfers do not require an updated Level I PASRR Overview, January 2019: Webinar If you have questions, contact the Central Office Medical Review Unit (COMRU) at 573-522-3092 or COMRU@health.mo.gov. Serious Mental Illness (SMI) for PASRR Purposes. The North Carolina Medicaid Uniform Screening Tool (NCMUST) user interface allows referring and admitting agencies to communicate and manage PASRR screens in a self-service application. . Overview nursing home or hospital). Iowa's PASRR website provides: Announcements, A PASRR Tip of the Month, Provider and Supervisor Tools, and Educational tools which are available to the general public. The Preadmission Screening Resident Review (PASRR) Level I identification form and PASRR Level II evaluation form, if necessary, must be completed prior to admission as per Federal PASRR Regulations 42 CFR 483.106. The Level II evaluation must be completed within seven business days of the referral and must be prior to the individual's admission to a Medicaid-certified nursing facility, except in those situations where a provisional admission is applicable. PASRR authorizations determine approval, denial along with corresponding time frames and/or restrictions for placement into a Skilled Nursing Facility. If assistance is needed, please call 1-573-751-6400. Screening, Brief Intervention, Referral for Treatment (SBIRT) . 45 Kilmer Road2nd FloorEdison, NJ 08817Fax: (732) 777-4681 The Level I PASRR Screening Tool (LTC-26) can be found on the Division of Aging Servicesforms page. To learn more, view our full privacy policy. Part 206: Chapter 3: Pre-Admission Screening and Resident Review (PASRR) Level II Rule 3.1: Pre-Admission Screening and Resident Review (PASRR) Level II D. A PASRR Level II consists of two (2) types: 1. A screening required for all individuals applying to reside in a Medicaid-certified nursing facility. A new PASRR-related service, Follow Up Visits, will roll out 30 days later. Resources 26 Code of Federal Regulations (CFR) 483.100 - 483.138 Level I and DD Bulletin: Bulletin #17-25-06 . If at any time it appears that the individual's stay may exceed seven days, no later than the fifth calendar day, the receiving facility must submit an updated Level I screen to NC Medicaid to determine whether further evaluation under the Level II process may be necessary. By federal law, an individual shall not be admitted to a NF unless a Level 1 screening has been completed, and, if it is . The Level I PASRR Screening Tool must be completed for all applicants to a nursing facility (NF), prior to admission, regardless of whether or not Medicaid is payer for the applicant. The Social Security Act requires that the Level I Screening Form be completed, Nursing facilities must continuously monitor all residents for PASRR significant changes. Uniform Screening Tool (MUST) The Web Portal contains information which is intended only for the use of the individual or entity associated with the North Carolina Medicaid Uniform Screening Tool (MUST). H&P History and Physical DSHS Forms, for the PASRR Level 1 Form 14-300 (available in Word and PDF) Aging and Long-term Support . Preadmission occurs when admitting a person from a place other than an acute care hospital, such as a community setting like home, hospice, group home, psychiatric hospital or jail. If you have submitted a screening form into NC MUST and the status is shown as "running" then please call the NC PASRR helpdesk at 1-888-245-0179 (Toll free)/ 1-919-813-5603 (Local) for a status reset. 20, No. Idaho nursing facility rate setting and reimbursement methodologies . The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. the above need requires temporary placement until alternative services and or placement can be secured and no other placement options are available. (973)927-2600 If the individual is on Medicaid, either in New Jersey or another state, or will be Medicaid eligible in 180 days, the referring facility must contact the appropriate Office of Community Choice Options Regional Field Office at the number below and request an Out-of-State packet. A to Z, Aging & Disability Resource Connection (ADRC), Congregate Housing Services Program (CHSP), Hearing Aid Assistance to the Aged & Disabled (HAAAD), Jersey Assistance for Community Caregiving (JACC), Managed Long Term Services & Supports (MLTSS), Pharmaceutical Assistance to the Aged & Disabled (PAAD), Program of All-inclusive Care for the Elderly (PACE), Senior Gold Prescription Discount Program, State Health Insurance Assistance Program (SHIP), Stress-Busting Program for Family Caregivers, Letter to Hospital and Nursing Facilities, Oct. 18, 2010, Notice of Changes to PASRR Process, DHS/DMAHS Newsletter, Vol. For individuals who have MI or ID, determine where they should be placed -whether in a NF or in the community- and identify the set of services they require in order to maintain and improve their functioning. Congress developed the Pre-admission Screening and Resident Review (PASRR) program to ensure that admission and retention of people with serious mental illness in nursing and boarding care facilities is appropriate, as part of the Omnibus Budget Reconciliation Act (OBRA) 1987 commonly referred to as OBRA regulations. Medical Records in support of Level 2 requests can be submitted by either: Fax: 855-858-1965 Email: GAPASRR@valueoptions.com; Customer Service 855-606-2725, press option 4 for the provider menu and then option 2 for PASRR; Please contact customer service at the number above with any inquiries related to PASRR prior auth numbers and status of . Instructions for Form LTC-26 Pre-admission Screening and Resident Review (Pasrr) Level I Screening Tool - New Jersey, Form LTC-26 Pre-admission Screening and Resident Review (Pasrr) Level I Screen - New Jersey, Pre-assessment Screening and Resident Review (Pasrr): Level 1 for Mental Illness, Intellectual Disability, or Related Condition - Vermont, Form FA-18 Pre-admission Screening Resident Review (Pasrr) Level 1 Identification Screening - Nevada, Attachment A Policy 680-c - Arizona Pre-admission Screening and Resident Review (Pasrr) Level I Screening Tool - Arizona, Instructions for Pasrr Level 1 Screening - Texas, Instructions for Pasrr Level 1 Screening Form - Texas, Instructions for Form F-01012 Reimbursement Request for a Pasrr Level I Screen - Wisconsin, Form F-22191 Preadmission Screen and Resident Review (Pasrr) Level I Screen - Wisconsin. Position: Nursing Facility Specialist, PASRR (Pre-Admission Screening & Resident Reviews)<br>The Department of Developmental Services (DDS) has an immediate opening for a Nursing Facility Specialist. PASRR Components Level I (Broad Screening) Refers to the screening used to identify whether a person has or is suspected of having a SMI and/or DD Also known as the preadmission screening (PAS) when screening is conducted prior to nursing facility admission Level II (Comprehensive evaluation & determination) It is important to note that the information entered in the PE for a preadmission is used by TMHP to determine MN for a person whose PE is positive. DA 124 Application Request Form (Sunshine Request) PASRR requires that 1) all applicants to a Medicaid-certified nursing facility be evaluated for serious mental illness (SMI), intellectual disability (ID) and/or other related condition (ORC); 2) be offered the most appropriate setting for their needs (in the community, a nursing facility (NF), or acute care settings); and 3) receive the services Hospital to Skilled Nursing Facility Flowsheet If at any time it appears that the individual's stay may exceed seven days, and no later than the fifth calendar day, the receiving facility must submit an updated Level I screen to NC Medicaid to determine whether further evaluation under the Level II process may be necessary. DMAS-95, Level I PASRR Form, Revised 4/2019 LEVEL I SCREENING FOR MENTAL ILLNESS, INTELLECTUAL DISABILITY, OR RELATED CONDITIONS . Preadmission screening and Resident Review ensures that individuals are placed in the most appropriate setting for their needs and not inappropriately placed in a long term care NF. Fax: 573-751-8493 25, Oct. 2010, Centers for Medicare and Medicaid Services (CMS), Contact An Alabama Preadmission Level I Screening Form is required for everyone who: A Level I Screening Form Update/Significant Change is required for any of the following: (not an exhaustive list), 120 Day Time limited Categorical, Convalescent Care The Texas Health and Human Services Commission made these system changes to ensure that the persons alternate placement disposition is documented and available on the LTC Online Portal at the time of discharge. A summary of findings documenting recommended placement and specialized services needs is completed. There are two levels of screening: Level I and Level II. If the individual has evidence of SMI, I/DD or RC and a 30-day or a seven-day time limited PASRR is requested, a time-limited PASRR authorization is assigned by NC Medicaid with an alpha character ending of D or E. If the individual is a Medicaid recipient, the screener contacts NCTracks and proceeds with the Medicaid nursing facility prior approval process. Flanders Office for Morris, Passaic, Sussex, Warren counties can download and print the PASRR Level I screening form. A screening designed to ask specific diagnostic and functional questions about a person in order to identify those individuals with MI, I/DD or RC. If the resident is to remain beyond the authorized time frame, the receiving facility contacts NC Medicaid prior to the end date to update the Level I information. An individual being referred for NF admission from a state other than New Jersey must have a completed Level I, and if positive, a completed Level II Evaluation and Determination, prior to admission. If dementia is also present (co-morbid with) mental illness (MI), it cannot be the primary diagnosis. The PASRR process consists of a Level I Screening, Level II Evaluation, and a final Determination. The screener is notified of a Level II referral, at which time the Level II evaluator will confirm patient location and schedule the Level II evaluation within 24 hours of referral receipt. Note: If the applicable Section E tab fields are not completed for a PL1 screening form submission, the PL1 screening form submission will not submit. Division of Regulation and Licensure If approved through the Level II process, the facility contacts NCTracks and submits a new PA request. All information recorded on paper forms must be data entered into the TMHP LTC Online portal. PASRR/MH Manual revised 1.6.2020 Page 5 PRE-ADMISSION SCREEN/RESIDENT REVIEW MENTAL HEALTH I. Maximus Core Capabilities Clinical Services Understand the Assessment Process What to expect at your PASRR Assessment If an individualhas a positivefinding forpossible MI or ID at Level I, the subsequent Level II evaluation will: Theinformation above is from:http://www.pasrrassist.org/resources/pasrr-plain-english. All information is provided in good faith, however, we make no representation or warranty of any kind regarding its accuracy, validity, reliability, or completeness. A final determination letter is mailed to the resident/responsible party informing them of the final decision and/or their appeal rights. with mental illness, intellectual disability or related conditions unless a thorough If the PT/OT/ST is discontinued prior to the 120 day period, the categorical convalescent care Level II Evaluation PASRR Level II Process Plainfield Office for Hunterdon, Somerset, Union counties What do we do about screens in a running status? Staff, Disaster & Emergency (609) 476-5200 These authorizations are only for rehabilitative services at a Skilled Nursing Facility (SNF). The selected candidate be responsible for administering PASRR (Pre-Admission Screening & Resident Reviews) evaluations for all individuals having or suspected of having an intellectual disability . If the Level I is positive for serious mental illness then a copy of the Level I must be faxed to the Division of Mental Health and Addiction Services (DMHAS) for a Level II Evaluation and Determination. Virginia PASRR Tools and Resources Maximus provides onsite, independent PASRR Level II mental health and intellectual/developmental evaluations. Claims submitted for payment of services must reflect the PASRR stands for Pre-Admission Screening/Resident Review and is part of the Federal Omnibus Budget Reconciliation Act. The self-service, internet-based application used to manage the NC Pre-admission Screening and Resident Review (PASRR) Program. It is the responsibility of the screener to initiate the Level I screen via NCMUST prior to admission. (856) 770-5900 Submit a new Level I screen as a status change whenever there is a . Federal law (42 CFR 483.128) mandates the provision of Level I screens for all applicants to Medicaid-certified nursing facilities to identify residents with serious mental illness (SMI), intellectual or developmental disabilities (I/DD) or a related condition (RC). The online PASRR training provides the following information: contact information, overview, types of admissions, DA-124 A/B and DA-124C form explanations, special admission categories, assessed needs, and much more. (732) 863-4500 The old NF contract or vendor number becomes the RE to the new contract number. Review the PL1 Screening form to confirm the RE has completed the required fields before submitting the PL1 screening form on the LTC Online Portal. By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation. Preadmission Screening and Resident Review (PASRR) is a federal requirement established to identify individuals with mental illness and/or intellectual developmental disability to ensure appropriate placement in the community or a nursing facility. A0600. not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. 2. The individuals MI must have resulted in functional limitations in major life activities within the past three to six months. There are circumstances where the service does not translate correctly and/or where translations may not be possible, such The PASRR Level l is a screening to determine whether an individual is suspected of a Mental Illness (MI) and/or and Intellectual Disability (ID). Pre-Admission Screening and Resident Review (PASRR) What to expect of your assessment This assessment helps decide if a nursing facility is the best place for a person with a behavioral, intellectual or developmental disability. A copy of the Level I must accompany the individual to the NF and must be placed on the active medical chart.