Colorado Preadmission Screening and Resident Review (PASRR)

To find answers to your program process questions, call the Colorado Maximus Help Desk: 833.588.7787 or contact via email: COPASRR@maximus.com

We thank you for your patience as we address calls in the order in which we receive them. Our standard practice is to return them as soon as the next Help Desk agent is available. Calls received after 4:00 p.m. MST will be returned within 2 business hours (excluding weekends and holidays). To avoid delays, do not leave multiple voicemails regarding the same issue.

Help Desk staff are available for phone inquiries from 7:00 a.m. to 4:00 p.m. MST Monday – Friday with the exception of State holidays. 

To register as a new user, go to AssessmentPro.com and click New User.

Yes, the Colorado PASRR website has training materials accessible for review. Live questions will be fielded after June 23, 2025 to the Colorado PASRR Help Desk team: COPASRR@maximus.com.

Note: Anyone wanting to access training materials must be a registered AssessmentPro user.

If you forgot your username and password, contact the Colorado PASRR Help Desk by phone: 833.588.7787 or email to: COPASRR@maximus.com beginning on June 23, 2025.

If you have ONLY forgotten your password, click the Forgot Password button on the AssessmentPro login page.

For HIPAA and security purposes, each user must have his/her own unique username and password. Use of another person’s username/password can result in termination of system privileges.

PASRR was established as part of the de-institutionalization process to ensure people with disabilities (i.e., Serious Mental Illness, Intellectual and/or Related Conditions):

• Are not inappropriately institutionalized in a NF
• Receive services in the least restrictive setting, and that
• Needed disability specific services/supports while in a NF are identified

PASRR is an important tool for states to use in rebalancing services away from institutions and towards supporting people in their homes, and to comply with the Supreme Court decision, Olmstead vs L.C. (1999). Under the Americans with Disabilities Act, individuals with disabilities cannot be required to be institutionalized to receive public benefits that could be furnished in community-based settings

The goal of PASRR is to optimize an individual’s placement success, treatment success, and ultimately, an individual’s quality of life.

PASRR requires that all applicants to Medicaid-certified nursing facilities be given a preadmission  screening to determine whether they might have a Serious Mental Illness (SMI), an Intellectual Disability (ID) or a Related Condition (RC). This is called a Level I Screen.

Individuals whose Level I screen shows indicators of a SMI, ID, and/or RC will receive a clinical review to determine if an in-depth evaluation, called a Level II, is needed prior to nursing facility (NF) admission or if an assessment can be delayed until after admission. The applicability of the Exempted Hospital Discharge and PASRR categoricals are also considered.

When a comprehensive Level II assessment is needed, it evaluates whether the person has a qualifying PASRR condition, and if so, the appropriateness of the NF setting and any specialized (disability-specific) services needed.

In Colorado, a Level I should be submitted in AssessmentPro when:

• An individual is considering admission to a Medicaid Certified NF (i.e. for pre-admission screening)    

or

• A Resident Review is needed due to a significant change (i.e., for a status change review) or a continued stay request. 

Maximus assessors will conduct the Level II assessments. Once assigned an assessment, the assessor will contact the requisite parties to schedule and conduct the assessment within 24 hrs.

All LI assessments will be reviewed by the appropriate state authority (HCPF or BHA) before the decision is finalized. Mental Health assessments will also be reviewed by a Maximus psychiatrist before they are sent to the State.

The Level II Notice of Determination (NOD) will be available to the submitter within 7 working days of the Level I screening decision within AssessmentPro. Maximus will mail the NOD to all requisite parties.  However, receipt of the decision is most efficient when the submitter downloads, prints and shares the NOD or securely emails the packet.