PASRR Essentials: Federal Requirements and State-Specific Navigation for Nursing Facilities

September 16, 2025

2 - 3 p.m. ET

ACCME & NAB CREDITS ARE AVAILABLE 

Equip nursing facility staff with a clear understanding of the Preadmission Screening and Resident Review (PASRR) federal requirements. Participants will learn the core principles of Level I and Level II screenings, the identification of Serious Mental Illness (SMI), Intellectual Disability (ID), and Related Conditions (RC), and how to ensure compliance with federal regulations. The session will also guide attendees on how and where to find their state-specific PASRR procedures, contacts, and resources. Real-world examples, compliance tips, and best practices will be included to help protect residents’ rights, avoid unnecessary institutionalization, and connect individuals to the right services at the right time.

Learning Objectives:

  1. Explain the purpose and scope of PASRR and its role in protecting individuals with SMI/ID/RC from inappropriate nursing facility placement.
  2. Identify federal requirements for Level I and Level II screenings, resident reviews, and documentation requirements under 42 CFR Part 483.
  3. Differentiate between federal PASRR rules and state-specific processes and requirements, including when and how to seek guidance from their state PASRR authority.
  4. Describe key definitions (SMI, ID, RC) and the criteria that trigger further evaluation.
  5. Apply best practices to ensure timely, accurate PASRR submissions and effective follow-up.
  6. Interpret Level II evaluation and determination outcomes, including how to document and implement required and recommended specialized services and/or specialized rehabilitative services in the resident’s care plan.
  7. Locate and use state-specific PASRR resources to resolve questions, coordinate services, and maintain compliance.

Speaker: Ellen Olsen, LCSW, MBA

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the center of excellence for behavioral health in nursing facilities (COE-NF)

Established by the Substance Abuse and Mental Health Services Administration (SAMHSA), in partnership with the Centers for Medicare and Medicaid Services (CMS), the COE-NF offers Certified Medicare and Medicaid Nursing Facility Staff a centralized resource hub with easy access to trainings, technical assistance and additional resources, at no cost.

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We help nursing facilities to improve the quality of life and care provided for residents who are experiencing a variety of behavioral health disorders, with a focus on Serious Mental Illness (SMI), Substance Use Disorder (SUD) and Co-Occurring Disorders (COD).

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We provide direct technical assistance, evidence-based training, and resources that are appropriate for every member of your long-term care facility — from those providing day-to-day direct care, to clinical and administrative staff.

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