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

New Process - Application started on 07-01-2025

Applications from 07-17-2023 to 06-30-2025.
This link will be available until 10-01-2025

ATTENTION:

As of January 13, 2026, COMRU is currently processing Level 1 applications submitted on January 8, 2026. / As a reminder, the online appliation will bed deleted if a corrected application has not been returned back to COMRU within 60 days of the submitter being notified. / The COMRU office will be closed on Monday, January 19, 2026 (Martin Luther King Jr. Birthday)

Trainings

Additional Information