CurrentNeighborhood Health Plan of Rhode IslandPolicy N/A

Preadmission Screening and Resident Review (PASRR) Requirement for Skilled Nursing Facility Requests

Mandates submission of the federally required Preadmission Screening and Resident Review (PASRR) with all new Skilled Nursing Facility (SNF) prior authorization requests to Neighborhood Health Plan of Rhode Island; applies to all new SNF admissions across all lines of business.

Policy Summary

PayerNeighborhood Health Plan of Rhode Island

PolicyPreadmission Screening and Resident Review (PASRR) Requirement for Skilled Nursing Facility Requests

Policy CodePolicy N/A

Change TypeRequirement added

Effective DateJan 1, 2026

Next Review Date

Key ActionSubmit a completed PASRR with the prior authorization request for all new SNF admissions; requests without PASRR may be considered incomplete and delayed.

SourceLink

POLICY UPDATE CHANGES

All new SNF requests across all lines of business will require submission of the federally mandated PASRR to Neighborhood Health Plan of Rhode Island.

2026-01-01requirement effective date

Nov 1, 2025notification sent

1-800-963-1001Provider Services

Coverage Criteria

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

PASRR prerequisite criteria

Submission requirement for SNF prior authorization:

Completed PASRR must be submitted with the prior authorization request for all new Skilled Nursing Facility (SNF) admissions regardless of whether the admission is for skilled or custodial care.

Requests received without the required PASRR will be considered incomplete and may delay authorization.

Provider Actions and Requirements

Prior Authorization

PASRR Submission Required

Effective January 1, 2026, all new Skilled Nursing Facility (SNF) admissions require submission of a completed Preadmission Screening and Resident Review (PASRR) with the prior authorization request to Neighborhood Health Plan of Rhode Island. This applies to all new SNF admissions regardless of whether the admission is for skilled or custodial care. Requests received without the required PASRR will be considered incomplete and may delay authorization. If you have questions, contact Provider Services at 1-800-963-1001.

Applies to all new SNF admissions (skilled or custodial)
Completed PASRR must be submitted with the prior authorization request
Requests without PASRR will be considered incomplete and may delay authorization
Questions: Provider Services 1-800-963-1001

Definitions

PASRR — Preadmission Screening and Resident Review

DefinitionPreadmission Screening and Resident Review (PASRR) — the federally mandated screening process to identify individuals with serious mental illness, intellectual disabilities, or related conditions and arrange necessary specialized services.

ScopeApplies to all new Skilled Nursing Facility (SNF) admissions across all lines of business, regardless of skilled or custodial level.

Submission requirementCompleted PASRR must be submitted with the prior authorization request for all new SNF admissions; requests without PASRR will be considered incomplete and may delay authorization.

Effective dateRequirement effective January 1, 2026.

ContactProvider Services: 1-800-963-1001 for questions regarding the requirement.