Waiver for Pre-Admission Screening and Annual Resident Review (PASRR) Level I and Level II Assessments for 30 Days


To:  All Medicaid Nursing Facilities

In light of the recent spread of COVID-19, effective March 16, 2020, we are providing additional guidance, to help ensure the health and safety of nursing home residents, by enforcing the standards required to help each resident attain, or maintain, their highest level of well-being.

The Pre-Admission Screening and Annual Resident Review process for Level I and Level II assessments will be waived for 30 days. All new admissions will be treated like exempted hospital discharges. After 30 days, new admissions with mental illness (MI) intellectual disability (ID) or Related Condition (RC) should receive a Resident Review as soon as resources become available.  Additionally, please note that per 42 C.F.R. 483.106(b)(4), new preadmission Level I and Level 2 screens are not required for residents who are being transferred between nursing facilities (NF). If the NF is not certain whether a Level I had been conducted at the resident's evacuating facility, a Level I can be conducted by the admitting facility during the first few days of admission as part of intake and transfers with positive Level I screens would require a Resident Review.

The PASRR Program requires that all nursing homes report a tracking list of all residents that are admitted under the 1135 Waiver. Nursing homes must fax their tracking list to the OBRA Office every two weeks beginning March 27th. Please include the following: name of nursing home, nursing home contact person and telephone number, date of each resident’s admission, their first and last name, social security number, and, when applicable, date of discharge. Please fax all Waiver Listings to 334-409-6903, using the title 1135 Waiver Listing. Nursing homes must be mindful of admission dates.

For additional information regarding the OBRA PASRR program please contact Angela Howard, Director Alabama Department of Mental Health: 800-548-2188.

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