This training has been designed to give you the most up-to-date information as of the publication date. It is your responsibility to regularly review the current Texas Medicaid Provider Procedures Manual (TMPPM) and all updated information as it is published on the Texas Medicaid & Healthcare Partnership (TMHP) website at

This User Guide is designed to assist Nursing Facilities providers and Local Authorities as they navigate through the Preadmission Screening and Resident Review (PASRR) process. The Guide contains information on the PL1 form, Alerts and Updates to forms, the NFSS form, and provider resources.