Iowa PASRR

Provider Tools and Resources

Iowa PASRR

Maximus provides online Level I PASRR screening and onsite, independent PASRR Level II mental health and intellectual/developmental evaluations. Scroll down for Provider tools, frequently asked questions, training opportunities, and historical information.

Are you a licensed Behavioral Health Clinician or Registered Nurse interested in working as an assessor with the IA PASRR program? Contact our Recruiting team to learn more: Recruiting@maximus.com

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How To: Set up an Access Coordinator for your facility

  • For questions on Iowa policy or procedures, contact Iowa Program Manager, Lila Starr: LStarr@dhs.state.ia.us or 515.281.5318, email is preferred.
  • For information on how to obtain Specialized Services for Medicaid members, contact Iowa Medicaid Enterprise Member Services at: 1.800.338.8366, or visit https://hhs.iowa.gov/ime/members
  • If you would like to be added to the Iowa PASRR email contact list, please send an email to: IowaPASRR@maximus.com with the subject line "I would like to be added to the IA PASRR email list."

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Tip of the Month: Proactive discharge planning must begin at the time of admission for anyone who has an 30-day Exempted Hospital Discharge, or 60-day Convalescent, or a full LII PASRR with a short-term approval. PASRR compliant care plans must include all identified Community Placement Supports whenever a short term approval is given, or the individual expresses interest verbally or through the MDS Section Q, that they seek to discharge to a lower level of care. 

Contact the help desk
Phone, Fax & Email

833.907.2777

1 (877) 431 9568

IowaPASRR@maximus.com

Business Hours

7:00 AM-4:00 PM CT

Announcements

  • Learning Opportunities: Register for Upcoming Iowa PASRR Provider Webinar Series | November 2022 - March 2023

    Are you brand-new to PASRR? Would you like a refresher on certain aspects of the process? This new webinar series has you covered!

    The Iowa PASRR support team at Maximus and Program Managers, Lila Starr of Iowa DHS and Brad Goodin of Maximus, have developed a comprehensive series of informative webinars designed to walk providers through many key aspects of the PASRR process and maximize their use of Iowa's assessment management system, AssessmentPro.

    For the PASRR newcomer
    The sessions listed below are paced in an order that we hope will be most beneficial for someone who is new and needs to attend them all. It is designed to help you understand the process, from most basic to more advanced concepts, including an invaluable overview of many aspects of PASRR.

    For the PASRR veteran
    Even an experienced provider who's accustomed to the Level I submission process is likely to have many questions and can learn a great deal more by attending these sessions. We hope you gain skills for using the assessment management system, AssessmentPro, as well as deepening your overall understanding of PASRR and how it relates to many other issues. 

    What are next steps? Be sure to scroll through the series descriptions, register for the sessions you need, and be sure to add those dates/times (shown below) to your calendar. Individual webinar reminders will also be sent out before each event.
     


    How to Successfully Complete a Level I PASRR Screen

    Please join us on Tuesday, November 22, 2022, at 2:00 p.m. CST for up to 90 minutes, as part of our continuing education series. This very important Iowa PASRR webinar will get into the weeds and address any questions you have about exactly how to successfully complete a Level I PASRR screen and what documents are needed at the point of submission, and how to upload them. This webinar will provide information on:

    • Who gets a Level I PASRR screening?
    • What information is required in a Level I screen?
    • Which documents to provide for the process to work as quickly and efficiently as possible
    • What are the best practices for completing thorough and timely Level I screen?
    • Turnaround times for Level I outcomes in Iowa
    • The various outcomes that can be given at the conclusion of a Level I screen

    If you are a hospital submitter, social worker, discharge planner, nursing facility DON or social worker, or any other person in any organization who may submit clinical information for a Level I screen, then this webinar is for you.

    If you work with other community-based service providers such as in-home health care, primary care clinic, community mental health centers, group homes, hospice providers, or others who may have a need to learn how to submit Level I PASRR screens, please help us reach out and invite them as well.

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, November 22, 2022



    PASRR Abbreviated Level II Outcomes: Exemptions & Categorical Outcomes

    Please join us on Tuesday, December 6, 2022, at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar for up to 90 minutes, as part of our continuing education series. This very important Iowa PASRR webinar will take a deep dive and address your questions about how and when to submit a Level I PASRR screen with a requested or expected outcome that results in a temporary exemption from the full Level II assessment. We’ll discuss outcomes of 30-day Exempted Hospital Discharge (EHD), 60-day convalescent care or several other Categorical Outcomes. This webinar will provide information on: 

    • When is it appropriate to request an exemption from the full Level II process? 
    • When is it appropriate or not appropriate to request the various kinds of abbreviated outcomes?
    • What are the pros and cons of using any of the abbreviated Level II outcomes?
    • Which documents does a Level I submitter need to provide up front for the process to work as quickly and efficiently as possible 
    • What are the best practices for completing thorough and timely Level I screens?

    If you are a hospital submitter or nursing facility administrator, hospital discharge planner, nursing facility DON or social worker, or anyone who currently submits Level I screens, then this webinar is for you. If you work for other community-based service organizations such as in-home health care provider, primary care setting, community mental health center, group home, or hospice agency who may need to learn about the Categorical Outcomes and what they mean, then please make plans to attend.

    Register in advance for this webinar

    Click to register | 2:00 p.m. CST Tuesday, December 6, 2022



    Understanding PASRR Level II Summaries of Findings, PASRR Identified Services, and Implementation

    Please join us on Tuesday, December 20, 2022, at 2:00 pm CST, for up to 90 minutes, as part of our continuing education series. This webinar will demonstrate how to review and understand a PASRR Level II outcome, known as a Summary of Findings, where an individual in the PASRR population is approved for a level of care and services are identified to optimize care and recovery for the individual.

    There are three types of services that can be identified; including Specialized Services that focus on the PASRR Condition/Disability, Rehabilitative Services that are typically provided as a part of the individual's care in a nursing facility, and Community Placement Supports that help to optimize an individual's potential for successful transition to a lower level of care once they leave a nursing facility for life in the community.

    This webinar will provide you specific information on how to: 

    • Review the Level II Summary of Findings (SOF) prior to admission
    • Understand the various areas of focus and information within the SOF 
    • Understand the role of the accepting nursing facility regarding the SOF
    • Find PASRR identified services within the SOF
    • Find Care Planning tools to facilitate compliance with service delivery
    • Ensure delivery of all PASRR Identified Services
    • Document that PASRR identified Services are being delivered 

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, December 20, 2022



    How to Achieve Compliance during PASRR ServiceMatters Reviews

    Please join us on Tuesday, January 10, 2023, at 2:00 pm CST, for an Iowa PASRR Technical Assistance webinar of up to 90 minutes, as part of our continuing education series. A function of Iowa's PASRR process is that for every PASRR Level II where one or more "Specialized Services" are identified for an individual in the PASRR population, a ServiceMatters compliance review will be triggered. Maximus will monitor whether the facility has developed a PASRR compliant care plan that includes all PASRR identified services and specific proof that all specialized services are being delivered. This webinar will offer specific guidance on how to successfully complete a PASRR Service Matters Review. The webinar will cover the following: 

    • How to find the Iowa PASRR NF Level II Care Planning Tool, and how to use it to write a PASRR Compliant Care plan. 
    • How to ensure that PASRR identified services are being delivered.
    • What information is needed to document that PASRR identified Specialized Services (SS) are being delivered.
    • How to complete the Service Matters Review Online Form. 
    • Common issues and errors that arise during Service Matters reviews.

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, January 10, 2023



    Community Placement Supports / Discharge Planning / PASRR Compliant Care Planning

    Please join us on January 24, 2023, at 2:00 p.m. CST for a webinar in the Iowa training series where we'll address Community Placement Supports / Discharge Planning and Care Planning. A function of Iowa's PASRR process is that for every PASRR Level II Summary of Findings; there are three types of services identified.

    These include Community Placement Supports (CPS) that can, when appropriate and implemented as part of a well-orchestrated discharge plan, help an individual successfully transition to a lower level of care and thrive once they leave the nursing facility. This webinar will provide you specific information on:

    • Reviewing and understanding the PASRR Identified Services: SS, RS, and CPS
    • The role of the Olmstead Decision in PASRR
    • Review why and how these Services are Identified
    • Review where to find these services in the PASRR Summary of Findings (SOF)
    • Tips and best practices on when to start discharge planning (Hint, it’s usually best at admission!)
    • Knowing when to include Community Placement Supports (CPS) in the Care Plan (Hint; every SOF tells you exactly when!)

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, January 24, 2023



    PASRR Status Changes & When to Complete Them

    Please join us on Tuesday, February 7, 2023, at 2:00 p.m. CST for an Iowa PASRR 90-minute webinar, as part of our continuing education series. The webinar will take a deep dive into when to submit a new PASRR Level I screen based upon Significant Changes in Status. The Iowa Help Desk and the Iowa PASRR program receive more questions about Status Changes/Resident Reviews in PASRR and when to submit them, than any other single issue in PASRR. This webinar is truly important for anyone and everyone who needs to understand a bit about when, why, and how to submit new PASRRs and the correlations to overall compliance. This webinar will offer guidance on:

    • What might trigger a need for a Status Change/Resident Review for someone with a previous Negative Level I PASRR?
    • What might trigger a need for a Status Change/Resident Review for someone who has previously been identified to be in the PASRR Level II population?
    • Ways to ensure you are compliant with Status Changes in PASRR
    • What we mean when we say – “When in doubt, submit a new PASRR”

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, February 7, 2023



    PathTracker+ for Nursing Facility Social Workers, Administrators, & Business Office Staff

    Please join us on Tuesday, February 21, 2023, at 2:00 pm CST, for an Iowa PASRR Technical Assistance webinar, as part of our continuing education series.

    This Iowa PASRR Webinar is specifically designed for the staff in your NF who are involved in entering admission, transfer, and discharge information into PathTracker Plus, which is a feature of the Iowa PASRR database.

    The webinar will include an overview of several critical functionalities of PathTracker Plus, including the when, where, why, and how to submit admissions, transfer, discharge, and corrected notices, as well as level of care and payment source changes. The use of PathTracker Plus has been mandatory since February 1, 2016, for all nursing facilities in Iowa.

    It is critical that appropriate nursing facility staff are trained and prepared to make necessary entries into the system in a timely manner. It is also critical that the NF stop all use of paper Case Activity Reports, also known as CAR forms, and that ALL changes that would have been submitted using a CAR form prior to 2016, must now be made only in the electronic PathTracker Plus system.

    Register in advance for this webinar:

    Click to Register | 2:00 CST Tuesday, February 21, 2023



    PASRR & Individuals with Recent Dependent Adult Abuse or History of Child or Dependent Adult Abuse

    Please join us on Tuesday, March 7, 2023, at 2:00 p.m. CST for a webinar that offers an overview of Preadmission Screening and Resident Review - PASRR - and considerations when PASRR is being conducted for someone with a current assessment of Dependent Adult Abuse or a possible history of Child or Dependent Adult Abuse. PASRR is utilized to identify individuals with serious mental illness, intellectual or developmental disabilities, and related conditions, and identifies services that will be required for them if they enter an Iowa nursing facility.

    Within the past several years, we have seen a significant increase in the number of PASRR assessments involving individuals where Dependent Adult Abuse assessments are co-occurring with PASRR or have recently been undertaken or who have a history of dependent adult abuse allegations, significant legal/criminal histories, or other issues that may make their PASRR somewhat more complex. In such cases, it is beneficial for the individual and their support network if/when those involved in PASRR can collaborate more effectively with those involved in dependent adult (or child) abuse assessment, and the service delivery that may follow. This webinar will offer guidance on:

    • Who/What/When/Why/and How of PASRR for those who work in Dependent Adult Abuse assessment
    • Who/What/When/Why/and How of Dependent Adult Abuse for those who work in PASRR or facilities
    • What information is needed to complete a thorough Level II evaluation and Summary of Findings?
    • When PASRR requests Abuse information, what happens with it?
    • How and when facilities and those who deliver services may benefit from requesting abuse information
    • Why court orders and legal/criminal history become important matters in many cases
    • How Dependent Adult Abuse Assessments impact PASRR and service delivery within the nursing facility
    • The benefits of a collaborative process between PASRR and DHHS staff engaged in Dependent Adult Abuse Assessments.

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, March 7, 2023



    Overview of PASRR Compliance: Level I Screens, PASRR Level II Requirements, Service Matters and PathTracker+

    Please join us on Tuesday, March 21, 2023, at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar of up to 90 minutes, as part of our continuing education series. This webinar will offer an in-depth overview of some of the many ways that it is possible to achieve compliance or experience compliance challenges in PASRR. The discussion will provide guidance on:

    • What are the most common Level I Compliance Issues?
    • What are the most common Level II Compliance Issues?
    • How and when does submission of Status Change/Resident Reviews in PASRR impact compliance?
    • How does ServiceMatters and other reviews relate to achieving compliance?
    • How does the submission of timely notices in PathTracker Plus impact compliance?
    • How do DHHS/Maximus/DIA/MCOs and others review NF Service Deliver for PASRR compliance?
    • How and when do facilities need to Implement and verify that Discharge Planning is occurring?

    Attendees will learn to identify many ways that one can be compliant with PASRR.

    Register in advance for this webinar:

    Click to Register | 2:00 p.m. CST Tuesday, March 21, 2023

  • SYSTEM UPDATE: Change Coming to AssessmentPro Login Process Tonight, Tuesday, November 1

    Please be aware that this evening, Tuesday November 1, Maximus IT will publish updates to the AssessmentPro system. With these upgrades comes a new way for users to update their passwords. 

    Currently, when users click the reset password button, a link will be sent to the email address you use to log into AssessmentPro, prompting you to create a new password.

    Going forward, instead of receiving a link, a verification code will be sent to your email address, which you will enter on the AssessmentPro site, then create a new password (see below):
     

     

     

     

     

     

     

    If you have any questions about this important process update, please reach out to your program Help Desk