Helping You Navigate the PASRR World

State officers need support to effectively and successfully manage every detail of their state's PASRR program and all affiliated long term care services. Ascend is the foremost PASRR authority, providing expert guidance and support that states can count upon. As a nationally-recognized leader in PASRR, Ascend:

  • Keeps you in compliance with the Centers for Medicare and Medicaid Services (CMS)
  • Delivers the most knowledgeable clinical expertise in the industry for individuals with disabilities
  • Offers timely, independent, accurate screenings and evaluations
  • Develops individualized recommendations and notifies all pertinent parties 
  • Designs state-specific, user-friendly, automated Level I, Level II, and Level of Care web-based systems that expedite reviews and reduce delays in hospital discharges
  • Generates data and customized reports 24/7 that help you manage your daily PASRR program needs with real-time results and program oversight
  • Provides the information, data, and consulting expertise to help states develop strategic plans and initiatives for affiliated long term care services

For up-to-the-minute information and access to all of your state’s PASRR data and details, Ascend offers an easy-to-use, web-based PASRR data system solution, PASRR Manager™.  PASRR Manager modules provide secure, immediate, and all-inclusive 24/7 access to state officers, giving you the capability to monitor each and every PASRR assessment, capture detailed workflow, evaluate quality and outcome information, and run customized reports on all PASRR statistics and variables.  For more information on the PASRR Manager software suite, click here.


Pre-Admission Screening and Resident Review (PASRR) is a powerful and effective program established by the Centers for Medicare and Medicaid Services (CMS) to ensure that persons with serious mental illness, intellectual, and/or developmental disabilities are placed in the least restrictive setting and receive recommended interventions to improve their quality of life. More recently, the PASRR program has emerged as one of the key methods and most effective tools for identifying persons with these conditions and providing the needed care and services.

PASRR has wide-ranging statewide and national impact, affecting hospitals, nursing facilities, other providers, caregivers, and family members.  PASRR assessment outcomes can influence numerous other long-term care services, including Waiver programs, IMD monitoring, housing, funding, and other essential services and initiatives.

CMS PASRR Requirements
State requirements for PASRR are set forth in the 1992 PASRR Final Rules published in Vol 57 No. 230 of the Federal Register and codified in the Code of Federal Regulations (C.F.R.) at 42 C.F.R. § 483, Subpart C. The Rule outlines requirements and provides an in-depth explanation of the purpose for PASRR and its required approach. Though the original rule has not been updated, a 1996 law (Public Law (PL) 104-315) repealed PASRR Annual Resident Reviews, substituting them with a requirement that a new evaluation be conducted whenever a nursing home resident with a mental health or developmental/intellectual disability experiences a significant change in status. “Significant change in status” is defined in the Minimum Data Set Guidelines (Chapter 2). Long-term care regulations require that nursing facilities, in partnership with state mental health and developmental disability state authorities deliver, or ensure delivery, of all services and supports defined in each PASRR evaluation. These requirements were strengthened under the revised nursing home reform regulations which became effective November 28, 2016.

PASRR requirements are complex. That complexity has grown in recent years, due to pressure by key stakeholders. Key concerns include: hospital demands for faster turnaround; CMS demands for fully effective Level I systems, broadened specialized services, and person-centered evaluations, which identify a full range of services and supports. Another concern focuses on the imperative for close alignment with nursing home providers to educate – both about PASRR requirements and about their residents with disability. Ascend fully understands these complexities. We manage all aspects of PASRR and provide expert consulting services that meet your state’s unique needs and specific requirements. To learn more about how Ascend can assist your organization in performing its PASRR evaluation services, contact us toll-free at 877-431-1388 or email us to learn more.