Pre-Admission Screening and Resident Review (PASRR)

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 quality of life.  Continue reading to learn more or download our onepager by clicking this link or the image at right.


Evaluating Eligibility

A  PASRR evaluation is a federally-mandated assessment to determine whether a skilled nursing facility is the most appropriate place to live for individuals diagnosed with serious mental illness, intellectual disabilities or developmental disabilities. A PASRR screening is required for everyone applying to or residing in medicaid-certified nursing facilities, even individuals not receiving Medicaid benefits.

The PASRR Process

A PASRR screen determines medical eligibility and matches patients with the level of care and services they need in a nursing facility or home-based setting through Tennessee's CHOICES program.

Eligibility is assessed by TennCare and TDMHSAS through a comprehensive review.

Submitting a PASRR

A hospital, nursing facility, social worker, care management service provider, or Area Agency on Aging & Disability can submit a PASRR for any individual seeking admission to a medicaid-certified nursing facility.

PASRRs in Tennessee are conducted by Maximus Clinical Services. Visit their website at this link for training resources and other guidelines.

For More Information

If you have concerns or need services for yourself, a child, or family member, contact our Helpline:
Phone: 800-560-5767
Hours: Monday – Friday: 8:00 a.m. to 4:30 p.m. (except for state holidays)

If you feel at any time that you are experiencing a mental health crisis, please call the Tennessee Statewide Crisis Line toll-free 24 hours, 7 days a week at 1-855-274-7471.

To learn more about PASRR in Tennessee, please contact:

Alicia Robeson
Assistant Director