Tools and Resources

For the Indiana PASRR Newsletter for Winter 2021, we cover several important topics that are critical for providers. Be sure to review these useful updates and reminders shown below, which include: 

• Register: 3/03 Provider Q&A Webinar
• Best Practice: PASRR process reminder
• Support: IN PASRR Help Desk contacts

REGISTER: Provider Q&A Webinar | Wednesday, 3/03
 
Find answers to your toughest PASRR questions at the upcoming Provider Q&A Webinar, taking place on Wednesday, March 3rd at 3 p.m. EST. Click the link below to register in advance for this informative session:

• Provider Q&A Webinar | 3 p.m. EST on Wednesday, March 3rd 

BEST PRACTICE: PASRR Process Reminders

1. Providers should not submit a PASRR for an individual who is no longer in their facility. If they are not there, the PASRR will be cancelled.
2. Please make sure to have a contact that can complete the Level II with the independent contractor (IC) over the phone and can assist the IC to contact the individual to be interviewed, if the person is able to complete a phone interview.  
3. The contact information should be placed in the text box on the Level I, if the contact person is not the same as the submitter who submitted the Level I.
4. Be sure to update the Medicaid field in Assessment Pro once an individual gets a Medicaid number.
5. When emailing the Help Desk, be sure to include all the demographics of the individual. 

Have other questions regarding updating an individual's information in AssessmentPro? Click here for a helpful AP User Guide.

SUPPORT: Indiana PASRR Help Desk Contacts

Phone: 833.597.2777
Email: pasrr@fssa.in.gov
Web Resources: https://maximusclinicalservices.com/svcs/indiana

In this edition of the Indiana PASRR Provider Newsletter, we share some important details on two new categoricals available: Terminal Illness and Convalescent Care. Also, be sure to closely review information about the planned December 2020 implementation for the new Asset Verification System.

NEW CATEGORICALS: Convalescent Care & Terminal Illness 

Indiana is implementing two new categorical options to PASRR, Terminal illness and Convalescent Care. Tuesday, November 10th is the planned go-live date for these new categoricals.

The following criteria must be met for the Terminal Illness Categorical:

All terminal illness categorical requests seeking nursing facility care require the following documents. 

• History & Physical within 12 months
• Level I screen
• Level of Care screen

And one of the following documents:

• Hospice certification (this document can be found on the Indiana FSSA website) or
• Physician's documentation stating a terminal illness or life expectancy of 6 months or less is present

The following criteria must be met for Convalescent Care Categorical:

The Convalescent Categorical is a short-term exemption from the PASRR process for a person with known or suspected MI, ID, or RC who: 

• Received acute inpatient treatment in a medical hospital and is discharging from the hospital to a nursing facility after receiving medical (non-psychiatric) services, and
• Needs short-term treatment between 31 to 60 calendar days in a NF for the same condition in which the person was hospitalized. Emergency Department discharges to the nursing facility do not qualify for the Convalescent situations.
• Are psychiatrically stable and does not present a risk of harm to self or others

For Maximus to apply the Convalescent Categorical:

• The person must meet the criteria listed above, and the hospital provider must: 
   
• Complete a Level I screen,
• Level of care screen prior to nursing facility admissions
• Upload a current History & Physical within the past 12 months to the person's Level I in AssessmentPro

UPDATE: New Asset Verification System - December 2020

The new Asset Verification System will be implemented beginning December 2020. All states are required to implement this system under Section 1940 of the Social Security Act.

Beginning in December 2020, individuals who have data gathering interviews for new Medicaid applications may have their resources - such as bank accounts, real property and vehicles - verified using the Asset Verification System. Members and applicants for whom assets are a factor in their eligibility will have an electronic request sent to verify assets in their name or in the name of other family members whose assets are used in determining their eligibility (such as their spouse). The request will be sent to sources such as Equifax and Lexis-Nexus, and the information will be returned to the Division of Family Resources for processing. If the AVS discovers assets that the applicant or member did not report, but the assets do not put them over the asset limit, eligibility can still be approved. The member or applicant will also be sent a pending verification form to verify assets, and if a discrepancy is discovered by the Asset Verification System, they will have the opportunity to rebut the information. If a rebuttal is received by the due date (13 days from the date mailed), then it will be reviewed and processed by DFR to determine the correct values to use. For ongoing members that require assets to be verified during their annual redetermination, the AVS process will begin March 2021. As a part of this change, authorized representatives will also now receive a full copy of their client's Medicaid redetermination mailer, and will be more easily able to assist in returning any information required to continue eligibility. 

Please note, until the month after the federal public health emergency ends, FSSA will continue to not close Medicaid for members unless they voluntarily withdraw from the program, move out of Indiana, or pass away.

SUPPORT: Indiana PASRR Help Desk Contacts

Phone: 833.597.2777
Email: pasrr@fssa.in.gov
Web Resources: https://maximusclinicalservices.com/svcs/indiana