The PASRR is a federally mandated screening process for individuals with serious mental illness and/or intellectual disability/developmental disability related diagnosis who apply or reside in Medicaid Certified beds in a nursing facility regardless of the source of payment. The screening assures appropriate placement of persons known or suspected of having a mental impairment(s) and also that the individual needs of mentally impaired persons can be and are being met in the appropriate placement environment.
The online PASRR training provides the following information: contact information, overview, types of admissions, DA-124 A/B and DA-124C form explanations, special admission categories, assessed needs, and much more.
If you have questions, contact the Central Office Medical Review Unit (COMRU) at 573-522-3092 or COMRU@health.mo.gov.
Online Application
ATTENTION:
As of February 19, 2026, COMRU is currently processing Level 1 applications submitted on February 11, 2026.
New Process - Application started on 07-01-2025
Applications from 07-17-2023 to 06-30-2025. This link will be available until 10-01-2025.
Ongoing PASRR / LOC Training
Nursing Home Reimbursement: Beginning to End