|OBRA PASRR Office | Nursing Home Screening
Angela Howard, Director
(Pre-Admission Screening Resident Review)
In 1987, Congress recognized that a national problem
existed regarding appropriate placement for individuals with
and/or intellectual disabilities and
passed the Omnibus Budget Reconciliation Act (OBRA) for
Pre-admission Screening and Resident Review to Medicaid
certified nursing homes. The Alabama Department of
Mental Health’s OBRA PASRR Office
is responsible for reviewing referrals submitted by
health care entities and maintaining a system to
regulate the appropriate placement of residents and
prospective nursing home patients who have serious mental illnesses
and/or intellectual disabilities.
In the state of Alabama, the OBRA PASRR Office is
responsible for screening all applicants and residents
of Medicaid Certified Nursing Facilities for suspected
mental illnesses and/or intellectual disabilities. It is recognized that individuals diagnosed
with mental illnesses and/or intellectual disabilities may have special needs which are not provided in a nursing facility.
Nursing facilities should only be utilized by individuals that warrant nursing facility level of
care. If an individual has a diagnosis of a mental illness
and/or intellectual disability and is a
nursing facility applicant/resident, the Alabama OBRA
PASRR Office evaluates to determine the most appropriate
placement based on the individual’s service needs.
For more information about the Alabama OBRA PASRR
Office and to utilize the online referral system, you
can visit our website at
www.mh.state.al.us/obra or call
1-800-548-2188 or 334-242-3946.