Preadmission Screening and Resident Review (PASRR)
The PASRR is a federally mandated screening process for individuals with serious mental illness and/or intellectual disability/developmental disability related diagnosis who apply or reside in Medicaid Certified beds in a nursing facility regardless of the source of payment. The screening assures appropriate placement of persons known or suspected of having a mental impairment(s) and also that the individual needs of mentally impaired persons can be and are being met in the appropriate placement environment.
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.
If you have questions, contact the Central Office Medical Review Unit (COMRU) at 573-522-3092 or COMRU@health.mo.gov.
Online PASRR Training - Printable (Updated 4/2018)
DA 124A/B form
DA 124C form
DA 124C ATT form
DA 124 Application Request Form (Sunshine Request)
Changes in Status
Change in Status Flowsheet
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
What would trigger a Level II Review