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 Application

Trainings

• New LOC Webex Training (Oct 2021)
  • New LOC Process Training - Level One Form
  • New LOC Process Training - NF Level of Care Assessment]
  • New Online Process - Questions and Answers
  • Updated Online Process Training (Nov 2022)

• Webex Training – Level One Online Form Training  (Feb 2024)
  • Level One Online Form Training (Feb 2024)

Additional Information

• Confidential Request (Submit Confidential Request to the Records Request Portal)
• Changes in Status
• Change in Status Flowsheet
• Hospital to Skilled Nursing Facility Flowsheet
• What to Submit to COMRU for client entering a Skilled Nursing Facility
• DA 124A/B
• DA 124C
• DA 124C ATT
• DHSS-DRL-109
• DHSS-DRL-110