DiraChart MDS item reference

A1500Section Av1.20.1Manual page A-30

Preadmission Screening and Resident Review (PASRR)

(cont.)

Quick coding

Answer Codes

Use the item-specific response choices below when structured codes apply.

Response format: Coded response
1

Yes

if PASRR Level II screening determined that the resident has a serious
mental illness and/or ID/DD or related condition, and continue to A1510, Level II
Preadmission Screening and Resident Review (PASRR) Conditions.

9

Not a Medicaid-certified unit

if bed is not in a Medicaid-certified nursing home. Skip to A1550, Conditions Related to ID/DD Status. The PASRR process
does not apply to nursing home units that are not certified by Medicaid (unless a State
requires otherwise) and therefore the question is not applicable.
— Note that the requirement is based on the certification of the part of the nursing home
the resident will occupy. In a nursing home in which some parts are Medicaid
certified and some are not, this question applies when a

Item-specific instructions

Coding Guidance

Review what the item asks, how to choose the response, and what should be verified before submission.

RAI Manual v1.20.1

Steps for Assessment

1. Complete if A0310A = 01, 03, 04 or 05 (Admission assessment, Annual assessment, SCSA,
Significant Correction to Prior Comprehensive Assessment).
2. Review the Level I PASRR form to determine whether a Level II PASRR was required.
3. Review the PASRR report provided by the State if Level II screening was required.

Manual page A-30
RAI Manual v1.20.1

Coding Instructions


Code 0, no: and skip to A1550, Conditions Related to ID/DD Status, if any of the
following apply:
— PASRR Level I screening did not result in a referral for Level II screening, or
— Level II screening determined that the resident does not have a serious MI and/or
ID/DD or related conditions, or
— PASRR screening is not required because the resident was admitted from a hospital
after requiring acute inpatient care, is receiving services for the condition for which
they received care in the hospital, and the attending physician has certified before
admission that the resident is likely to require less than 30 days of nursing home care.
A1500: Preadmission Screening and Resident Review (PASRR)
(cont.)

Code 1, yes: if PASRR Level II screening determined that the resident has a serious
mental illness and/or ID/DD or related condition, and continue to A1510, Level II
Preadmission Screening and Resident Review (PASRR) Conditions.

Code 9, not a Medicaid-certified unit: if bed is not in a Medicaid-certified
nursing home. Skip to A1550, Conditions Related to ID/DD Status. The PASRR process
does not apply to nursing home units that are not certified by Medicaid (unless a State
requires otherwise) and therefore the question is not applicable.
— Note that the requirement is based on the certification of the part of the nursing home
the resident will occupy. In a nursing home in which some parts are Medicaid
certified and some are not, this question applies when a resident is admitted, or
transferred to, a Medicaid certified part of the building.

Manual page A-30
MDS item matrix

Assessment Applicability

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4 relationships3 groups
Official CMS source

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SourceCMS MDS 3.0 RAI Manual v1.20.1
Effective2025-10-01
Mapped locationManual page A-30
Reference details

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