North Dakota PASRR

Tools and Resources

Maximus performs Pre-Admission Screening and Resident Review (PASRR) Level I screens and Level II evaluations on individuals who are applying to or residing in Medicaid-certified nursing homes. This federally mandated assessment process is used to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR functions as an essential method to help match individuals with the care and services they need. We also performs nursing facility Level of Care Determinations for all Level II evaluations.

Interested in completing assessments in North Dakota as an independent contractor? Click here for more information.

Your feedback helps us improve! Tell us about your assessment experience.
 

AssessmentPro System Log In
 

Contact the help desk
Phone, Fax & Email

833.997.2777

877.431.9568

NDPASRR@maximus.com

Business Hours

8:00 am - 5:00 pm CST, M-F

Announcements

  • Important Provider Reminders - PathTracker Process Reminders | Faxing Documentation Best Practices

    PROCESS REMINDER: Regularly Updating PathTracker

    Please keep in mind that the more up-to-date PathTracker is, the more accurate our short-term expiration notifications will be. PathTracker must be regularly updated any time new information becomes available. 

    Every time a person admits to your facility, any time they discharge or transfer to a new location, every time someone re-admits, or in the event an individual passes away, always reflect the information in PathTracker. 

    Click here to review our PathTracker Training on the North Dakota PASRR Tools & Resources site. Don't hesitate to reach out to the Help Desk if you have questions about this process.
     

    BEST PRACTICE: Faxing Required Documentation

    As of December 2022, the State of North Dakota requires a History and Physical and ADL Flowsheets to submit a Level of Care with a Nursing Facility Service Type. If you do not have the required documentation ready for upload and choose to fax it instead, please ensure that you are printing out the specific coversheet that is being generated for the individual in AssessmentPro by clicking the fax icon. 

    When you fax the documentation to AssessmentPro using this coversheet as the first page, it will upload the information to the person's profile automatically. This helps with assessment turnaround times. Please refer to this training document for detailed instructions on this important process.


    SUPPORT: Contact the ND PASRR Help Desk

    Do you have questions about program processes or a current referral? Contact your North Dakota PASRR Help Desk for more information:

    Phone: 833.997.2777

    Email: Ascend-NDPASRR@maximus.com

  • Provider Updates and Reminders - Nursing Facility Level of Care Update | Annual Review Process Reminder

    PROCESS UPDATE: NF LOC Documentation

    Beginning this Thursday, December 1, 2022, all Level of Care assessments with a Nursing Facility service type will require the following documents:

    A History and Physical (H&P) that was completed within the last year.

    A History and Physical is a document which includes details of present illness, relevant past history appropriate to the patient's age, drugs, allergies, assessment of body system, conclusion/impression, and plan of care.

    • The H&P must be signed by either an MD, NP, or PA. 
    • ADL Flowsheets from within the last month.
    • You do not need to submit a month's worth of ADL flow sheets. A recent flowsheet from within the last week is an acceptable submission.

    If you do not have these documents, select the I cannot upload all required documents button (see below). Be sure to do this sparingly, as the goal is to have as much information as possible when completing these referrals.

    If you do not submit this documentation, the referral will be placed on hold until you have uploaded them. If you do not upload them within 14 days, the referral will expire.

    Click here to review the process for uploading documentation.


    REMINDER: Annual Review Process

    Keep in mind that North Dakota DHS will implement a new Annual Review process, beginning on December 14, 2022, for individuals who have a Medicaid payment source (Medicaid, Medicaid Pending, Medicare/Medicaid, and Medicare/Medicaid Pending). 

    Individuals with this payment type will no longer receive unlimited approvals:

    • Every approval will have an end date with a maximum approval of 364 days. 
    • This includes individuals in the past who were previously given approvals with no end date. An end date has been added to all these individuals, regardless of how long they have resided in your facility. 


    SUPPORT: Contact the ND PASRR Help Desk

    Do you have questions about program processes or a current referral? Contact your North Dakota PASRR Help Desk for more information:

    Phone: 833.997.2777

    Email: Ascend-NDPASRR@maximus.com

  • 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

  • IMPORTANT PROVIDER UPDATES: Register for November Training Opportunities | Review Updated Provider Manual on Tools & Resources Site

    REGISTER: Level I and Level of Care Training Sessions in October and November

    The North Dakota PASRR team is offering informative training sessions on Level I and Level of Care screening in October and November. Use the links below to register for these important learning opportunities. 

    Note: identical information will be offered in both the October and November sessions. Pick the date and time that best fits your schedule. 


    REVIEW: Updated Provider Manual Available on Tools & Resources Site

    Click here to download and review the latest version of the ND PASRR Provider Manual, and keep in mind that you can always find the most up-to-date versions of forms, guides, and training presentations on this site. 


    SUPPORT: Contact the ND PASRR Help Desk

    Do you have questions about program processes or a current referral? Contact your North Dakota PASRR Help Desk for more information:

    Phone: 833.997.2777

    Email: Ascend-NDPASRR@maximus.com

  • IMPORTANT PROVIDER UPDATES: Review State Memo | Screening Guidance | Short-Term Expirations vs. Annual Reviews

    Nancy Nikolas Maier, Director North Dakota DHS - Aging Services Division recently sent out a memo to all skilled nursing facility (SNF) administrators, which describes new guidelines regarding a recent settlement agreement with the Department of Justice. As part of this agreement, all Medicaid member residents who are referred for a long-term stay in a SNF or already live in a SNF will be assigned a Case Manager who will make an annual visit to ensure their needs are being met. The DOJ requirement does not start until 12/14/2022 and the annual redetermination dates will be spread across the 12 months of 2023. Maximus will notify facilities of expiring Level of Cares via mail.  

    Click here to review the full memo.


    PROCESS REMINDER: Level of Care "Reason for Screening" Guidance

    Nursing facility applicant: Only select this option if an individual is a new applicant for a nursing home. Do not select this option if an individual is already residing in a nursing home.

    (PASRR only) Nursing facility resident who is not currently in an inpatient psychiatric hospital/unit at this time: Only select this option if the individual is currently in a nursing home and the Level of Care is being submitted due to a change in their PASRR condition or if they have never had a PASRR before.

    (PASRR only): Nursing facility resident who is currently hospitalized in a psychiatric hospital/unit: Only select this option if an individual is currently psychiatrically hospitalized and is suspected or known to have a PASRR condition.

    Nursing facility resident who is converting to Medicaid: Only select this option if someone is applying for Medicaid. 

    Nursing facility resident who is requesting retrospective review of this individual's level of care status beginning with a date in the past.

    Nursing facility resident whose approval period is expiring and needs additional time in the nursing facility: Only select this option if the individuals is residing in a nursing home and their previous Level of Care is expiring. 

    Select the appropriate option below based on their payment source.

    Medicaid, Medicaid Pending, Medicare/Medicaid, and Medicare/Medicaid Pending

    • Annual Review: This option should only be selected if the previous LOC approval was for 364 days. 
    • Short-Term Approval Expiration: This option should be selected if the previous LOC approval was for any other period of time (ex. 30, 60, 90, 120 days) 

    Self-Pay, Private Insurance, Medicare
    Nursing facility resident who has had a previous LOC approval, but has had significant medical improvement and the submitting facility is providing an update of that improvement

    Swing bed applicant or swing bed resident applying to Medicaid: Only select this option if the individual is a new Swing Bed applicant OR a current Swing Bed resident applying for Medicaid.

    Waiver, grant, or other service/program applicant: Only select this option if the individual is a new applicant for a waiver service. Do not select this if an individual is already a waiver or service program recipient.

    Waiver, grant, or other service/program recipient whose approval period is expiring and needs additional time in the service/program: Only select this option if the individual is receiving waiver services and their previous Level of Care is expiring.
     

    BEST PRACTICE: Short-Term Expirations vs. Annual Reviews

    When a Level of Care is submitted for individuals in a nursing home due to an expiring past approval, be sure to choose the appropriate option in the Reason for Screening section. The Annual Review option should only be chosen when the most recent Level of Care that is expiring had a 364-day approval period. If the approval period was for any other number of approved days, select the short-term expiration option.
     

    SUPPORT: Contact the ND PASRR Help Desk

    Do you have questions about program processes or a current referral? Contact your North Dakota PASRR Help Desk for more information:

    Phone: 833.997.2777

    Email: Ascend-NDPASRR@maximus.com