New Specialized Psychiatric Rehabilitative Services Reimbursement Rate

Effective July 1, 2023, the Specialized Psychiatric Rehabilitative Services (SPRS) reimbursement rate increased from $23.39 to $24.19 per resident day. This supplemental payment is available to skilled nursing facilities that provide SPRS to residents determined to have a mental illness by a level II PASRR evaluation.

This updated rate is for all Medicaid-certified nursing homes and professionals who work in the Preadmission Screening and Resident Review (PASRR) process.

How to get the supplemental payment

To qualify for the supplemental payment, the nursing facility must address the SPRS on the resident care plan. The care plan must be reviewed and updated annually, or more frequently at a change in status, to reflect changes in the resident’s need for mental health services.

To maintain eligibility for the supplemental payment, an initial level II PASRR evaluation must be completed, and a resident review must be completed every two years afterward. This level II PASRR evaluation must indicate nursing facility placement is appropriate and SPRS is needed.

For more information, review the Wisconsin Medicaid Methods of Implementation for Nursing Home Payments Rates for July 1, 2022, through June 30, 2023, available on the ForwardHealth Resources for Skilled Nursing Facilities webpage. An updated Medicaid Methods of Implementation is coming soon.

PASRR contacts

PASRR contractor

  • Address
    Behavioral Consulting Services (BCS)
    PO Box 953
    Grafton, WI 53024
  • Office phone: 262-376-1223
  • Fax: 262-376-0920 | 262-376-0925 | 262-376-0927 | 262-376-0945
  • Email:
  • Website:

PASRR information and training

Join us for a PASSR training November 15-16, 2023, at the FOCUS Conference. It’s in person in Wisconsin Dells. Learn more about this event and register today