Level II PASRR Information

 

(This information in this portion of the website may be of use to Certified Mental Health Center staff and others interested in the determination process of whether there is a diagnosis of mental illness, appropriate care, related laws, requirements, and forms.)

AUTHORIZATION:

Preadmission Screening and Resident Reviews (PASRRs) are federally mandated screenings directed by the Medicaid Title XIX Program. 

PURPOSE:

Its purpose is to assure appropriateness of placement and care for any person with a mental illness or any person thought to have a mental illness or who has had a change in their mental status AND who is either already in a nursing facility or who is applying for admission to a nursing facility.

LEVEL II EVALUATIONS:

There are multiple levels involved with PASRR screening. The mental health authority in each state, in Wyoming’s case, the Mental Health and Substance Abuse Services Division (MHSASD), has responsibility for what is known as the Level II evaluations. Level II evaluations include: an evaluation by a qualified professional of a certified mental health center of the person applying for admission to or already in a nursing facility; a review of all psychosocial, medical and psychiatric information done by a psychiatrist as arranged by the Division and; a Determination of Appropriateness for nursing facility placement, made by a qualified MH Clinician at the Division. 

There is coordination between the MHSASD, the Division of Aging where the Medicaid person in charge of PASRRs, is located, and the Wyoming State Hospital when they are involved. 

TIME SENSITIVE:

Because people being screened are often waiting in hospital beds or are in urgent need of structured care, completion of PASRR screenings, evaluations, determinations and related paperwork, are all time sensitive. The Division keeps a log as the paperwork comes in from the nursing facilities, hospitals and mental health centers. When all of the required paperwork is at the Division, a Wyoming licensed psychiatrist does a final evaluation. After this evaluation is completed, a qualified clinical staff person at the Division makes a determination as to whether the patient is appropriate for nursing facility placement. Once the determination is completed, all PASRR materials are forwarded to the Aging Division where they complete the process. 

BILLING:

Billing and payments for evaluations are accomplished directly between the Medicaid contractor (APS) and each provider of service. The Division facilitates the flow of billing paperwork, when it inadvertently comes to the division by a certified mental health center and may facilitate the billing of reviewing psychiatrists. The division is prohibited from actually billing on behalf of any contractor.

FORMS: (PDF's)

PASRR Policy (currently under revision- check back soon!)

PASRR Definition of Serious Mental Illness

PASRR Responsibilities and Protocols for Level II

PASRR Instructions for Community Mental Health Centers

PASRR Level II Evaluation Form for Mental Illness

CONTACTS:

Clarification on matters related to the Level II portion of PASRRs may be obtained by calling the main Division number, 307-777-6494 where you will be directed to an available staff person.

Clarification related to other portions of PASRR screenings, such as the LT 101 and Level I portions may be obtained by calling Lura Crawford of the Division on Aging, at 307-777-5382.

Clarifications re: billing are available at APS: Missoula, Montana;

1-888-545-1710