Pre-Admission Review (PAR)

If you are preparing to enter a Medicaid-certified nursing facility, you will be required to complete a Pre-Admission Review (PAR) screening. This consists of two separate pre-admission screening processes: Pre-Admission Screening and Resident Review (PAS) and Level of Care (LOC).

What is PAS?

The PAS component of the federal Pre-Admission Screening and Resident Review (PASRR) requires all applicants for Medicaid-certified facilities, regardless of payment or diagnosis, to be screened for serious mental illness (SMI) and developmental disabilities (DD). This legislation was designed to ensure that individuals with indications of these conditions or disorders receive long-term care in the most appropriate setting.

What is LOC?

LOC is the State of Ohio's screening process for individuals seeking Medicaid reimbursement for their stay in a Medicaid-certified nursing facility. Medicaid will only pay for an individual's care in a nursing facility if he or she meets the criteria for intermediate level of care or skilled level of care. Once your LOC is determined, our staff will communicate that information to the County Department of Job and Family Services so Medicaid vendor payment can be initiated.

How to Submit a Request

Direction Home Akron Canton PAR Representatives conduct paper reviews for PAS-ID screenings and LOC assessments submitted from hospitals and nursing facilities. To submit a paper review for a PAS-ID and/or LOC assessment, fax the appropriate documentation to our PAR Unit. The fax number is 330.896.6646 and the fax machine is available to receive requests 24 hours a day, seven days a week.

Our PAR staff is available to process requests Monday through Friday from 8 a.m. to 5 p.m. We offer extended coverage hours on weekends (5 p.m. Fridays through midnight Saturdays) and holidays. The fax number for extended hours only is 419.222.8262. We will also send hospitals and nursing facilities a fax or email with extended holiday coverage information.

Requests for Change of Payer levels of care may be mailed to the Agency, if preferred.

Additional PAR Resources

Please review the following resources to assist you with your request:

PASRR Rules

Level of Care Rules


Frequently Asked Questions

If you have any questions while completing your PAR request, Direction Home Akron Canton is here to help. Contact us or call our Aging and Disability Resource Center at 877.770.5558.