DHS releases bulletin on Level II OBRA screening for nursing facility admission

By Todd Bergstrom  |  March 29, 2024  |  SNF/NF providers

On March 20, 2024, the Minnesota Department of Human Services published the bulletin, “Adult Mental Health Level II OBRA Screening for Nursing Facility Admission (24-25-01).” The topic of the bulletin is the federal Preadmission Screening and Resident Review (PASRR) policies and procedures governing nursing facility (NF) admissions for persons who have or may have a serious mental illness. This bulletin replaces bulletin #21-2501. The purpose is to assist all stakeholders with the policies and procedures for PASRR Level II Mental Health for people who have or may have a serious mental illness. The 15-page bulletin contains the following sections:
    I. How should this bulletin be used?
    • History and Overview
    • Overview of Preadmission Screening (PAS)
    • Diagnosing Professionals
    • Possible indicators of a history of a serious mental illness
    • Symptoms of a serious mental illness
    • Overview of Level II MH
    • Qualifications of a Level II MH screener
    • Qualifications of a Level II MH assessor
    • Mental Health Services and Specialized Services
    • County of Financial Responsibility versus County of Location
    • Process for Level II MH screener
    • Timeframe for Level II Screenings
    • Outcome of Level II MH
    • Health Insurance Portability and Accountability Act (HIPAA)
    • Required Notification Process
    II. Resident Review
    III. Billing for Level II MH administrative activities

Please contact Todd Bergstrom at the Association office if you have any questions. 


Todd Bergstrom
Todd Bergstrom  |  Director of Research and Data Analysis  |   tbergstrom@careproviders.org  |  952-851-2486