OBRA Pre-Admission Screening and Annual Resident Review Program: (PASARR)

The Omnibus Budget Reconciliation Act of 1987 (OBRA) is a federal regulation that  mandates  all individuals who are entering Medicare/Medicaid certified nursing facilities must receive a comprehensive mental health assessment if they are identified as having serious mental illness or developmental / intellectual disability. Senior Services OBRA Program completes these assessments for individuals who meet these criteria in Kalamazoo County.

A pre-admission assessment is performed before an individual enters a nursing facility, and an annual resident review is completed annually thereafter. An assessment may also take place at the time of a significant change in the person’s mental health condition. The purpose of these assessments is to verify medical necessity for a nursing facility placement, and more importantly, to make mental health recommendations which will assist the facility in providing mental health services to meet the individual’s unique needs.