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Section 1919(e)(7) of the Social Security Act and Chapter 42 of the Code of Federal Regulations, Sections 483.100 through 483.138 specify the requirements for preadmission screening of all individuals with intellectual and developmental disabilities before they enter a Medicaid certified nursing facility (NF), regardless of payment source.

Federal regulations require the PASRR Level I screenings take place prior to admission in order for a state to receive federal financial participation for Medicaid reimbursement of nursing home care.  Individual determined to require Specialized Services through the PASRR Level II process are prohibited from being admitted to a NF, or remaining in a NF. 
For further information about the Level I process, and forms that are used for that process, please visit the Division of Aging Services / PASSR.
If an individual who is currently living in a NF and who has an intellectual or developmental disability has been identified through the Minimum Data Set 3.0 (MDS 3.0) as having a significant change in condition, then the Division of Developmental Disabilities must be notified via completion and submission of the PASRR Resident Review Referral Form.

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