Dear Administrator Verma: The Center for Accountability, Modernization, and Innovation (CAMI) is a nonprofit organization that promotes innovative solutions to public policy challenges. CAMI is pleased to submit comments on the “Medicaid Program; Preadmission Screening and Resident Review” proposed rule to modernize the requirements for Preadmission Screening and Resident Review (PASRR). CAMI supports the Centers for Medicare and Medicaid Services’ (CMS) efforts to reduce duplicative requirements and other administrative burdens on state PASRR programs, while ensuring quality assessments of vulnerable beneficiaries. CAMI contends that the use of third-party contractors and contemporary technologies can reduce administrative burdens and conflicts of interest while bringing cutting edge technologies and business processes to the PASRR program.