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Page 1 of 2 NEW MEXICO PARR LEVEL I IDENTIFICATION SCREEN Rev 11/16 Required for EVERY MEDICAID CERTIFIED NURSING FACILITY applicant regardless of payment source. PLEASE PRINT LEGIBLY The information
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Gather all necessary information and documents.
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Start by entering the applicant's personal information, such as name, date of birth, and contact details.
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Provide detailed information about the applicant's medical history and any existing mental health conditions.
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PASRR NM is needed by individuals who are seeking admission or placement in a nursing facility or intermediate care facility for individuals with intellectual disabilities (ICF/IID).
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The Level II mental illness evaluation is an in-depth psychosocial evaluation of the individual. This evaluation is currently performed face-to-face or via telehealth at the facility where the individual is located, in an interview format.
The PASRR Level II evaluation is an in-depth review of medical, social, and psychiatric history, as well as ADL functioning. It also documents nursing facility services that are required to meet the person's medical needs.
Preadmission Screening and Resident Review (PASRR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care.
The Level II evaluation examines the diagnosis of record to confirm or disconfirm whether the individual with a positive Level I has MI or ID/RC, determines whether placement or continued stay in the requested or current NF is appropriate; and calculates the individual's MI/ID service needs, including services the NF
Preadmission Screening and Resident Review (PASRR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care.
A: A PASRR Level II needs to be done if the individual has a NCD and a serious mental illness, Intellectual Disability, and/or Other Related Condition that would meet the criteria to have a PASRR Level II done.
Level I – Screening A preliminary screening to identify individuals who may have Mental Illness ( MI ), Intellectual Disability ( ID ), and/or Related Condition ( RC ). The nursing facility is responsible for ensuring a Level I screen is completed for everyone prior to admission.

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Preadmission Screening and Resident Review for Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (PASRR) is a federal requirement
Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities are required to file PASRR
PASRR forms can be filled out electronically or on paper, following the instructions provided by the governing agency
The purpose of PASRR is to identify individuals with intellectual disabilities or mental illness who may need specialized services
Information such as the individual's medical history, mental health status, and need for specialized services must be reported on PASRR
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