Logo Overlay

Pre-Admission Screening and Resident Review (PASRR)

PASRR Program Overview

Pre-Admission Screening and Resident Review (PASRR) is a federally required screening of any individual who applies to or resides in a Medicaid-certified nursing facility, regardless of the source of payment.

This requirement was enacted to ensure individuals with serious mental illness (SMI), intellectual or developmental disabilities (I/DD) and/or related conditions (RC) receive appropriate placement and services. 

  • A Level I identification screening must be performed before anyone can be admitted to any Medicaid-certified nursing facility. 
  • When the Level I screening indicates the possibility of SMI, I/DD or RC, a Level II, in-depth evaluation must be performed to assess for nursing facility placement and for potential specialized care needs of the individual. 
  • PASRR screenings must also be provided for previously admitted individuals who have demonstrated a SMI, I/DD and/or RC significant change in condition.


NC Medicaid uses an internet-based screening tool to manage the PASRR Program. The North Carolina Medicaid Uniform Screening Tool (NCMUST) user interface allows referring and admitting agencies to communicate and manage PASRR screens in a self-service application. NCMUST uses an automated decision service to establish the appropriate PASRR level. The assigned PASRR authorization is usually generated in seconds and is viewable in NCMUST. If manual review of the screen is required, the screen is routed to a queue monitored by NC Medicaid PASRR nurse consultants. The NC Medicaid PASRR nurse consultants can then communicate back to the originator of the screen (screener) as needed to make a clinical decision.

The North Carolina Medicaid PASRR Screening Tool is available 24 hour per day, 7 days a week for your online usage. Our help desk support staff is available Monday-Friday from 8am-4:30pm except observed state holidays. Please use the information below to contact the PASRR help desk.