Older Adult Behavioral Health and PASRR

​Pre-Admission Screening and Resident Review (PASRR) Program: PASRR is a federal program governed by the Centers for Medicare and Medicaid Services.  This program screens individuals seeking nursing facility care for a history of mental illness and identifies the most appropriate and least restrictive services that will meet the individual’s needs. The required evaluations are conducted by Adult Evaluation and Referral Services (AERS) professionals at the local health departments and approved by Beacon Health Options Maryland under the direction of the Office of Older Adults and Long Term Services and Supports at BHA.
For additional information about Maryland PASRR and nursing facility access, go to https://mmcp.health.maryland.gov/longtermcare/Pages/Nursing-Facility-Residents,-Recipients-and-Family-Members.aspx​

Maryland Transmittals related to PASRR 

Training materials

PASRR Contacts

Beacon Health Options
Lauren Bateman, MS, RN
410-691-4054; 800-502-1044 x 214054
Fax 1-577-502-1044 Attention: PASRR Coordinator/Lauren Bateman

Behavioral Health Administration

Stefani O’Dea, MA
410-402-8476; Stefani.odea@maryland.gov

Older Adult Behavioral Health PASRR Project

This project is a partnership of the Maryland Behavioral Health Administration (BHA) and Maryland’s Money Follows the Person (MFP) Project. Key partners include the Mental Health Association of Maryland and Maryland Core Service Agencies (CSAs) and Local Behavioral Health Authorities (LBHAs).

Scope of Project

Services designed for individuals with behavioral health needs may lack expertise and skills to support individuals as they age. Likewise, services designed for older adults may lack knowledge and expertise in behavioral health. This project was designed to bridge the gap between those systems of care.

Regional specialists were hired to be a resource to behavioral health providers whose clients are aging and to aging partners whose clients are experiencing behavioral health issues. The regional specialists provide behavioral health resources and consultation for older adults with behavioral health conditions for the purpose of diverting them from, or reducing the duration of, nursing facility admission.

The regional specialists are a resource to:
  • Aging and Disability Resource Centers
  • Health Departments
  • Local Maryland Access Point (MAP) sites
  • Behavioral health providers
  • Support planners
  • Other entities involved with diversion from nursing homes and transitions from nursing home back to the community​



Contact Person/ Agency


Worcester, Wicomico, Somerset, Dorchester, Talbot, Caroline, Queen Anne’s, Kent

Mid- Shore Behavioral Health Inc

Meg Borders, RN

(410) 770-4801 x 322; mborders@midshorebehavioralhealth.org


Garrett, Allegany, Washington, Frederick

Washington County Mental Health Authority

Linda Cole, LCSW-C

(301) 739-2490 x 111; lindac@wcmha.org


Cecil, Harford, Baltimore, Carroll, and Howard

Anne Arundel County Mental Health Agency

Heather Hughes

410-980-8315 (cell)

410-768-5522 Ext: 187



Anne Arundel, Prince George’s, Calvert, Charles, and Saint Mary’s.

Anne Arundel County Mental Health Agency


Temporary Contact: Heather Hughes

410-980-8315 (cell)

410-768-5522 Ext: 187

hhughes@aamentalhealth.org ​​

Baltimore City

Behavioral Health Systems Baltimore

Kola Bakre

(410) 735-8540; kola.bakre@bhsbaltimore.org

Montgomery County

Montgomery County Health and Human Services

Sybil Greenhut, APRN-BC

((240) 777-3962; Sybil.greenhut@montgomerycountymd.gov


Project Coordinator

Maryland Behavioral Health Administration

Stefani O’Dea, MA

Director, Office of Older Adults and Long Term Services and Supports, 410-402-8476; stefani.odea@maryland.gov

PASRR Role: The Older Adult Behavioral Health PASRR Specialists primary role in PASRR involves follow up visits, training, and coordination of mental health services. The specialists conduct follow up visits with individuals with mental illness, admitted to Maryland nursing facilities through the PASRR process. They meet with both the individual and the staff at the facility to determine training needs, specialized service’s needs, and whether community options counseling is desired. In addition to PASRR training, the Specialists can also offer behavioral health training for nursing facility staff. The specialists have been trained as trainers on a new curriculum created by the Mental Health Association of Maryland called ENGAGE with Older Adults. This curriculum is geared toward direct care level staff in long term care settings and meet the new federal nursing facility regulatory requirements around behavioral health training. Additionally, the Specialists will assist nursing facilities with coordinating mental health services for nursing facility residents admitted through PASRR by identifying local mental health providers that are qualified and willing to provide services within this setting. 

Older Adult Behavioral Health Resources:

Mental Health Association of Maryland  https://www.mhamd.org/getting-help/older-adults/
National Coaltion for Mental Health and Aging  http://www.ncmha.org/
PASRR Technical Assistance Center www.pasrrassist.org​​