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Cabinet for Health and Family Services

Cabinet for Health and Family Services

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Kentucky Cabinet for Health and Family Services
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In this section Department for Behavioral Health, Developmental and Intellectual Disabilities

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  • Division of Developmental and Intellectual Disabilities
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  • Preadmission Screening and Resident Review (PASRR)

Preadmission Screening and Resident Review (PASRR)

Main Content

PASRR Forms and Resources

Click on the name of a document in the list below to access a copy of the document.

  • Center for Medicaid Services (CMS) History & Physical Guidance (H&P)
  • Community Options
  • Developmental History Form
  • Forms & Acronyms
  • PASRR 4 - Response to Referral
  • PASRR 5 - Notification of Recommended Services
  • PASRR 6 - Placement Option Form
  • PASRR 7 - Refusal Of Specialized Services
  • PASRR 8 - Explanation of Billing (REDCap)
  • PASRR Flow Chart
  • PASRR Form 145 - Service Expenditures
  • PASRR Level II Evaluation Form
  • PASRR Level II Evaluation Instructions
  • PASRR Manual
  • PASRR Miscellaneous Expenses (REDCap)
  • PASRR Miscellaneous Expenses Instruction Sheet
  • Process for Discontinuation of Specialized Services
  • How to Complete a Significant Change Form
  • Validating Intellectual Disability
  • Validating Severe Mental Illness

PASRR Regulations and Statues

  • PASRR Kentucky Statute
  • PASRR Kentucky Regulation
  • PASRR Federal​ Regulation



Relative Content

​Related Links

  • KLOCS Resources
  • Nursing Facility PASRR Resources
  • Preadmission Screening and Resident Review (PASRR)

Additional Information

Contact Information

286

Related Agencies

  • Department for Behavioral Health, Developmental and Intellectual Disabilities
  • Department for Community Based Services

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