Preadmission Screening and Resident Review (PASRR)

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. Medicaid-certified NF may include facilities that are certified by both Medicaid and Medicare, or the Medicaid-certified distinct part of a larger institution.

The Level I PASRR Screening Tool (LTC-26) can be found on the Division of Aging Services forms page.

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.

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.

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.  DMHAS and/or DDD must be contacted to apply the categorical determination.

Level 1 Outcomes:

  • If the Level I is negative, then the individual can be admitted to the NF. A copy of the Level I must accompany the individual to the NF and must be placed on the active medical chart.

  • 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.

  • If the Level I is positive for intellectual disability or a related condition then a copy of the Level I must be faxed to the Division of Developmental Disabilities (DDD) for a Level II Evaluation and Determination.

  • If the Level I is positive for serious mental illness AND intellectual disability or a related condition, then a copies of the Level I must be faxed to both DMHAS and DDD for a Level II Evaluation and Determination.

After completion of a positive Level I Screen, the discharge planner must issue written notice (LTC-29) to the individual and his or her legal representative that the individual is being referred for a Level II evaluation for MI and/or DD and is being referred to DMHAS and/or DDD. A copy of the letter can be downloaded here.

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. If after 30 days the individual remains in the NF for more than 30 days, the NF must complete the Level II Evaluation and Determination process by day 40.

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. It is the responsibility of the admitting NF in New Jersey to ensure receipt of those PASRR documents from the referring state.  It is recommended that the referring state use NJ PASRR forms and submit to the NJ Level II authority.

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. The Office of Community Choice Options manager will walk the referrer through the process.

PASRR Frequently Asked Questions

PASRR Level I Process

Division of Aging Services
(609) 588-6675

Office of Community Choice Options

Northern Regional Office

Serving Bergen, Essex, Hudson, Hunterdon, Middlesex, Morris, Passaic, Somerset, Sussex, Union and Warren.

 (732) 777-4650 45 Kilmer Road
2nd Floor
Edison, NJ 08817
Fax: (732) 777-4681

Southern Regional Office

Serving Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Monmouth, Ocean and Salem.

 (609) 704-6050 852 South Whitehorse Pike
Hammonton, NJ 08037
Fax: (609) 704-6055

 

PASRR Level II Process

Division of Mental Health and Addiction Services
Statewide PASRR Coordinator (609) 438-4152 or (609) 438-4146 Fax: (609) 341-2307
Division of Developmental Disabilities Regional Offices
Newark Office for Bergen, Essex, Hudson counties (973) 693-5058 All DDD Positive Level l screen referrals are to be faxed to the DDD Central fax number at (609) 341-2349.
Plainfield Office for Hunterdon, Somerset, Union counties (908) 226-7800
Flanders Office for Morris, Passaic, Sussex, Warren counties (973) 927-2600
Freehold Office for Middlesex, Monmouth, Ocean counties (732) 863-4500
Trenton Office for Burlington and Mercer counties (609) 584-1340
Mays Landing Office for Atlantic, Cape May, Cumberland counties (609) 476-5200
Voorhess Office for Camden, Gloucester, Salem counties (856) 770-5900