What If You Are Late To Submit Specialized Services Request Passar Positive

Preadmission Screening and Resident Review (PASRR)

Level I

Individuals are first screened to make up one's mind if they:

Have a serious mental illness, an intellectual inability, or related condition.

Are being admitted to the appropriate level of care.
Demand specialized services or less intensive services.

Who completes Level I?

Level I is completed past the referring party, usually the referring infirmary or physician.

Hands of a nurse guiding the hands of an older person reach for a cane

When should Level I be completed?

Level I should exist completed as shortly as nursing facility (NF) placement is considered.

Indicators of SMI or ID/RC require follow up by the mental health (MH) PASRR evaluator or the ID/RC PASRR evaluator prior to NF admission.

What exercise I do once completed?

If the Level I screening is positive for a ID/RC:
- Forrard the completed Level I to DDA.
  For more information, visit the Department of Social and Health Services' (DSHS) PASRR individuals with intellectual disabilities and related conditions page.
If the Level I screening is positive for an SMI:
- Forward the completed Level I to the contractor in your area. Download the contractor contact information map.
If the Level I screening is positive for both SMI and ID/RC:
- Ii referrals must be sent.

Annotation: Additionally, a re-create of the completed Level I must be sent to the receiving nursing facility (NF).

Level Ii

Map of Washington showing the pasrr regions and evaluator contact information

The Wellness Care Say-so (HCA) contracts with PASRR evaluators to complete the Level Two process. Evaluators must pass a background check and meet didactics and training requirements before they can perform Level 2 assessments.

For each Level I that is positive for MH, a PASRR MH Evaluator must make up one's mind whether a Level 2 evaluation cess or a Level Ii invalidation should exist completed.

To learn more and for contact information for the contractor in your area, view the contractor data map.

PASRR preparation

Information for hospitals, medical offices, and nursing facilities

Comprehensive overviews of PASRR, focusing on different topics each year.

November 2021
- WA PASRR served by ii agencies
- COVID-related timelines update
- What the 1135 Waiver means to PASRR
- Behavioral Health Support team
- Pregnant Change of Status
- Resident Centered Care Planning
- BH PASRR Scenarios
Nov 2020
- COVID-related PASRR timelines
- A timely new resource: behavioral health support team
- Referrals for significant change of condition
Nov 2019
- In-depth view of PASRR Level I screening
- Person-centered care

Level I best practices

Best practice guidance for PASRR evaluators when completing a Level I screening.

View the PASRR best practices presentation.

Large modern building with trees in the front and a blue sky

Can I become grooming at my facility?

Yes! To request a training in your Washington Country facility or community:

Contact the contractor in your region.

Who do I contact for help?

For all Washington MH PASRR Level II inquiries

Contact the contractor in your region first. View the contractor information map for phone and fax numbers.

Elizabeth (Beth) Loska
BH PASRR program manager
Email: elizabeth.loska@hca.wa.gov
Telephone: 360-725-1478

For Medicaid certified nursing facilities

If you need a copy of the Washington PASRR MH Level II assessment that was completed on an individual who is or was in your facility, contact the contractor for your region first. Contractors may straight you to:

The following information will exist needed on each inquiry:

Individuals full name
Date of birth

Your proper name
Your facility
City and county your facility is located
If located out of the country of Washington, delight include full address and attach the completed Level I