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  3. An expansion of our clinical services in Colorado, Delaware, and Louisiana

An expansion of our clinical services in Colorado, Delaware, and Louisiana

July 8, 2025

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Recent contract awards grow our Preadmission Screening and Resident Review (PASRR) assessments work to 15 states.

A professional conducts an in-home assessment of an older woman seeking admission to a Medicaid-certified nursing facility.

We are expanding our Preadmission Screening and Resident Review (PASRR) services with a new contract in Colorado, the renewal of a contract in Delaware, and the launch of program operations in Louisiana. As a trusted partner with deep experience and broad capabilities for assessing individuals with complex needs, we now support 15 states with their PASRR programs.

PASRR is a federally mandated screening process that helps ensure individuals with serious mental illness, intellectual or developmental disabilities are appropriately evaluated before admission to Medicaid-certified nursing facilities. The process helps connect individuals to the most suitable setting and services, supporting care in the least restrictive environment. We deliver PASRR Level I screenings, clinical reviews, and Level II evaluations and monitor PASRR service delivery on an ongoing basis for states across the nation.

New work in Colorado

In partnership with the Colorado Department of Health Care Policy and Financing, we help the state identify individuals who have a serious mental illness, intellectual disability, or related condition who are applying for admission to a nursing facility, through Level I screens, then we conduct Level II evaluation assessments to determine appropriate placements and identify disability-specific services and supports to meet their needs. We continue our work by monitoring the delivery of services and supports in nursing facilities and helping the state to facilitate transitions back into the community.

“Quality and integrity drive greater efficiency. The reliability and accuracy of our person-centered assessments streamline the referral management process in Colorado, providing individuals with quicker access to services and supports and providers with more time to focus on patient care. To further improve the provider experience, we launched a fully accessible website with state-specific PASRR training materials, resources, and provider communication announcements.”

Christa Ballew, Senior Managing Director for Clinical Services 

Continued partnership in Delaware

Building on a partnership that included the successful transition from a paper-based to a fully electronic system to improve service delivery, Delaware Health and Social Services again selected us as its PASRR vendor. Since 2021, we’ve conducted an average of more than 1,000 Level I and II screenings across the state each month, with faster review times and improved placement outcomes.

“Delaware was the first state to achieve full certification from the Centers for Medicare & Medicaid Services for its PASRR module, along with the Maximus AssessmentPro system. Our secure technology solution provides state leaders with advanced reporting and analytics that show program performance for greater accountability and trends for more informed decision-making.”

Christa Ballew, Senior Managing Director for Clinical Services

New program operations in Louisiana

Earlier this year, we launched operations to administer PASRR Level I services for the Louisiana Department of Health, Office of Aging and Adult Services. Our clinical professionals use a person-centered approach to delivering online PASRR Level I screens for individuals who are applying to Medicaid-certified nursing facilities. We also assist providers with the transition from paper-based submissions of Level I screens to digital submissions in our AssessmentPro system.

With a 25-year history of delivering PASRR services, we support programs in Colorado, Connecticut, Delaware, Illinois, Indiana, Iowa, Louisiana, Maine, Mississippi, New York, North Dakota, Ohio, South Dakota, Tennessee, and Virginia. This growing footprint reflects our proven track record for delivering clinical services and assessments that support better outcomes for individuals and more efficient and effective programs for state agencies.

Learn more about our clinical services work in Colorado, Delaware, and Louisiana. 

See how we drive results

Female clinical professional conducts a level of care determination assessment for an older woman in her home.

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We provide conflict-free assessments, like PASRR, that improve the lives of people with complex needs.

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Meet Nancy Shanley

She’s making an impact by helping CMS and state agencies see PASRR programs as tools for positive change.

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Across all 50 states and D.C., we help agencies accelerate service delivery to address challenges and move people forward.

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