PASRR Identification Screen - Ohio Department Mental Health and ... 2026

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  1. Click ‘Get Form’ to open the PASRR Identification Screen in the editor.
  2. Begin with Section A: Identifying Information. Fill in the applicant's last name, first name, middle initial, social security number, date of birth, sex, and Medicaid details. Ensure accuracy as this information is crucial for processing.
  3. Move to Section B: Reasons for Screening. Select the appropriate preadmission screening or resident review code that applies to your situation by checking the corresponding box.
  4. In Section C: Medical Diagnosis, indicate if there is a documented diagnosis of dementia or other mental disorders. Provide additional diagnoses if applicable.
  5. Complete Sections D and E regarding indications of serious mental illness and related conditions by answering all questions truthfully.
  6. Fill out Section F regarding community living referrals and any barriers that may impede returning to community settings.
  7. Finally, complete Sections G and H for requests related to resident review approvals and provide mailing addresses for evaluations.

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A Level 2 Evaluation is a person-centered evaluation that is completed for anyone identified by the Level 1 Screening as having, or suspected of having, a PASRR condition, i.e., serious mental illness (SMI), intellectual disability (ID), developmental disability (DD), or related condition (RC).
The federal definition of MI for PASRR is best understood in terms of the four Ds: A diagnosis or suspicion of a major mental illness such as schizophrenia, bipolar disorder, major depression, or an anxiety disorder such as OCD. An absence of dementia.
A Level 1 Screening involves completion of an evaluation to determine if an individual has, or is suspected of having, a PASRR condition, i.e., serious mental illness (SMI), intellectual disability (ID), developmental disability (DD), or related condition (RC).
PASRR requires that Medicaid-certified nursing facilities: Evaluate all applicants for serious mental illness (SMI) and/or intellectual disability (ID) Offered all applicants the most appropriate setting for their needs (in the community, a nursing facility, or acute care settings)

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