Pre-Admission Screening and Resident Review (PASRR) Program: PASRR is a federal program governed by the Centers for Medicare and Medicaid Services. This program screens individuals seeking nursing facility care for a history of mental illness and identifies the most appropriate and least restrictive services that will meet the individual’s needs. The required evaluations are conducted by Adult Evaluation and Referral Services (AERS) professionals at the local health departments and approved by Optum Maryland under the direction of the Office of Older Adults and Long Term Services and Supports at BHA.
Maryland PASRR Tools and Information
Maryland Transmittals related to PASRR
|Date Published||Transmittal No.||Audience||Subject|
|January 27, 1987||COMAR 10.09.30||Local Health Departments||Describes the requirements for the Statewide Evaluation and Planning Services (STEPS) assessment completed by the LHD, which was later selected by MDH as the tool for the PASRR Level II Evaluation|
|September 18, 1997||Transmittal No. 159|
Nursing Facility Administrators
Describes the change in federal PASRR regulations enacted in 1996 and details PASRR requirements
|1997 or earlier (exact date unknown)||COMAR 10.09.10||Maryland- Licensed Nursing Facilities||Codifies the requirement for nursing facilities to be in compliance with federal PASRR requirements as described by 42 CFR Part 483, Subpart C (1996)|
|March 1, 2012||Transmittal No. 239||Nursing Facility Administrators|
Updates and clarifies resident review requirements applicable to nursing facilities
|November 18, 2018||Transmittal No. 271||Nursing Facility Administrators|
Describes behavioral health services available to nursing facility residents, including specialized services under PASRR and details Level II requirements for admission to nursing facilities
|August 21, 2020||Memorandum|
Licensed Nursing Facilities
Introduces the BHA's Older Adult Behavioral Health PASRR Project
Maryland PASRR program for Marylanders with Serious MI
Phone 800-888-1965 Option 3
Behavioral Health Administration
Older Adult Behavioral Health PASRR Project
This project is a partnership of the Maryland Behavioral Health Administration (BHA) and Maryland’s Money Follows the Person (MFP) Project. Key partners include the Mental Health Association of Maryland and Maryland Core Service Agencies (CSAs) and Local Behavioral Health Authorities (LBHAs).
Scope of Project
Services designed for individuals with behavioral health needs may lack expertise and skills to support individuals as they age. Likewise, services designed for older adults may lack knowledge and expertise in behavioral health. This project was designed to bridge the gap between those systems of care.
Regional specialists were hired to be a resource to behavioral health providers whose clients are aging and to aging partners whose clients are experiencing behavioral health issues. The regional specialists provide behavioral health resources and consultation for older adults with behavioral health conditions for the purpose of diverting them from, or reducing the duration of, nursing facility admission.
The regional specialists are a resource to:
- Aging and Disability Resource Centers
- Health Departments
- Local Maryland Access Point (MAP) sites
- Behavioral health providers
- Support planners
- Other entities involved with diversion from nursing homes and transitions from nursing home back to the community
Contact Person/ Agency
Worcester, Wicomico, Somerset, Dorchester, Talbot, Caroline, Queen Anne’s, Kent
Mid- Shore Behavioral Health, Inc.
Shannon Joyce, MPH, CHES
410-770-4801, ext. 320311
Garrett, Allegany, Washington, Frederick
Washington County Mental Health Authority
301-739-2490 ext. 111
Anne Arundel, Prince George’s, Cecil, Harford, Baltimore, Carroll, and Howard
Anne Arundel County Mental Health Agency
Mia Riggsby, LMSW
Calvert, Charles, and Saint Mary’s.
St. Mary's County Health Department
Behavioral Health Division
Behavioral Health Systems Baltimore
Montgomery County Health and Human Services
Josi Makon, LCSW-C
Office Phone: 240-777-4529
Behavioral Health Administration
Stefani O’Dea, MA
Director, Office of Older Adults and Long Term Services and Supports, 410-402-8300 ; firstname.lastname@example.org
PASRR Role: The Older Adult Behavioral Health PASRR Specialists primary role in PASRR involves follow up visits, training, and coordination of mental health services. The specialists conduct follow up visits with individuals with mental illness, admitted to Maryland nursing facilities through the PASRR process. They meet with both the individual and the staff at the facility to determine training needs, specialized service’s needs, and whether community options counseling is desired. In addition to PASRR training, the Specialists can also offer behavioral health training for nursing facility staff. The Specialists will assist nursing facilities with coordinating mental health services for nursing facility residents admitted through PASRR by identifying local mental health providers that are qualified and willing to provide services within this setting.
PASRR Technical Assistance Center www.pasrrassist.org
Older Adult Behavioral Health Resources: