The Colorado Post Admission Level 1 PASRR (Pre-Admission Screening and Resident Review) Form is a federally mandated screening tool. Nursing facilities in Colorado must complete this document for every Medicaid applicant before or during admission. The Level 1 review identifies whether the individual has a serious mental illness, intellectual disability, or related condition. If a condition is identified, the facility initiates a Level 2 PASRR evaluation through the Colorado Behavioral Health Administration.
This form collects detailed personal and medical information for each prospective resident. It covers current diagnoses such as schizophrenia, bipolar disorder, and other psychiatric conditions. The assessor documents symptom history and records how those symptoms affect daily functioning. The form also captures psychiatric treatment history, including any inpatient hospitalizations within the past two years. Psychotropic medication details, including type, dosage, and whether dosages exceed recommended limits, are required entries.
For residents with suspected or confirmed dementia, the form requests documentation of diagnostic testing or specialist evaluations. The Colorado Level 1 PASRR also screens for intellectual disabilities and developmental disabilities. The assessor records the individual's historical context and current cognitive or behavioral impairments. Based on these findings, the nursing facility determines whether a comprehensive Level 2 evaluation is warranted.
Certain individuals may qualify for exemptions under the Level 1 PASRR process. Exemptions apply to those with terminal illnesses, those in acute convalescence, and those whose severity of illness prevents safe transfer. Facilities must document the specific basis for each exemption granted. These categorical determinations align with federal and Colorado state guidelines.
Completing this form accurately protects residents and keeps facilities in Medicaid compliance. Related documents often used alongside the Colorado PASRR process include the Colorado Medical Power of Attorney, the Colorado DNR Form, and the Colorado Living Will. Facilities conducting mental health assessments may also reference the Brief Psychiatric Rating Scale form.
| Question | Answer |
|---|---|
| Form Name | Colorado Post Admission Level 1 Passr Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | colorado pasrr, colorado pasrr level 1, print pasrr form, colorado pasrr form, pasrr level 1 form colorado, colorado post admission screening |