MedicaidAdministrativeMedium impact
COVID-19: 1135 Waiver Implementation for Pre-Admission Screening and Resident Review (PASRR)
Missouri Medicaid (MO HealthNet)·MO · Geriatrics·Provider Notice
Effective date
Apr 2, 2020
We identified it
Jun 20, 2026
Summary
Missouri Medicaid has implemented COVID-19 waivers allowing skilled nursing facilities and intermediate care facilities to admit patients with mental illness or intellectual disabilities before completing required Level II PASRR evaluations. Facilities must submit DA 124 applications within 14 days indicating 'Waiver due to COVID-19' and can proceed with admissions immediately during the Federal Emergency Declaration.
Action Required
Immediately: SNF billing teams must update admission procedures to accept patients with MI/ID diagnoses before Level II PASRR completion. Submit DA 124 applications to COMRU@health.mo.gov within 14 days of admission with 'Waiver due to COVID-19' notation. Ensure Level of Care points (24) are met before admission and document ability to meet patient's medical and behavioral needs.