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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 Iowa DHS COVID-19 Information

  • 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 http://dhs.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."

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

Tip of the Month: Be sure to engage and reach out to an individual’s Manage Care Organization Case Manager when you are coordinating or arranging for Specialized Services or Community Placement Supports.

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 | Oct 2021 - Mar 2022

    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.

    All of these webinars will be scheduled for 90 minutes, although we plan to deliver the primary content within 60 minutes and address questions and answers for up to the full 90 minutes.

    How to Successfully Complete a Level I PASRR Screening

    Please join us on Tuesday, October 19, 2021, at 2:00 p.m. CST of up to 90 minutes, as part of our continuing education series. This very important Iowa PASRR webinar will get into the weeds and address your questions about exactly how to successfully complete a Level I PASRR screen, 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 screens?
    • Turnaround times for Level I outcomes in Iowa
    • The various outcomes of a Level I

    If you are a hospital social worker, discharge planner, nursing facility DON or social worker, or any other person in any organization who may have clinical information to submit 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, 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:

    Deep Dive into PASRR Abbreviated Level II Outcomes: Exemptions & Categoricals

    Please join us on (Election Day!) Tuesday, November 2, 2021, 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 very important Iowa PASRR webinar will get into the weeds and address your questions about how and when it is useful to complete a Level I PASRR screen with a requested or expected outcome of 30-day Exempted Hospital Discharge (EHD), exempting a person from the full Level II assessment, or any other of several Categorical Outcomes. This webinar will provide information on: 

    • When is it appropriate to request a hospital exemption (EHD)? 
    • 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 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 screens?
    • What to do when I am not reporting a PASRR Condition but Maximus requests that I send a Certification?

    If you are a hospital or nursing facility administrator, hospital discharge planner, a nursing facility administrator, nursing facility DON or social worker, or anyone who currently submits Level I screens, then this webinar is for you. If you work with other community-based service providers such as in-home health care providers, community mental health centers, group homes, or hospice providers who want to learn more about the appropriate times to request an Exempted Hospital Discharge or any of the Categorical Outcomes.

    Register in advance for this webinar:

    Improving Self Care for All - Stress Management During the Pandemic

    Please join us on Tuesday, November 16, 2021, at 2:00 pm CST, for an Iowa PASRR's Technical Assistance webinar, as part of our continuing education series. This webinar will provide guidance to human services professionals, healthcare workers, social workers, nursing facility staff, hospital staff, and all on improving selfcare.

    Healthcare professionals are on the front lines every day, and see that depression, anxiety, substance use and drug overdoses have increased dramatically during the Covid-19 pandemic. The ability to help others requires you to have well-being yourself. As flight attendants tell us every time we travel on airplanes, “Be sure to adjust your own [oxygen] mask before helping others.”

    So, this Webinar is designed to help Healthcare workers and the entire PASRR community in Iowa, put that mask on themselves first by improving selfcare techniques and addressing effective means of stress management. This will allow you to continue forward while providing excellent care to those you serve.
    Register in advance for this webinar:

    Register in advance for this webinar:

    •    Click to Register | 2:00 - 3:30 p.m. CST Tuesday, November 16, 2021


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

    Please join us on Tuesday, November 30, 2021, 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 a lower level of care.
    This webinar will provide you specific information on how to: 

    • Review the Level II Summary of Findings (SOF)
    • Understand the various areas of focus/information within the SOF 
    • Understand the role of the accepting nursing facility regarding the SOF
    • Ensure delivery of all PASRR Identified Services
    • Find PASRR identified services within the SOF
    • Find Care Planning tools for PASRR identified services
    • Document that PASRR identified Services are being delivered 

    Register in advance for this webinar:

    Successful Completion of a PASRR Service Matters Review

    Please join us on Tuesday, December 7, 2021, at 2:00 pm CST, for an Iowa PASRR Technical Assistance webinar, as part of our continuing education. A function of Iowa's PASRR process is that for every PASRR Level II where an individual in the PASRR population is in need of one or more "Specialized Services," Maximus will monitor whether the NF has developed a PASRR compliant care plan that includes all PASRR identified Specialized Services (SS), Rehabilitative Services (RS), and Community Placement Supports (CPS) and will ask for specific evidence that documents the delivery of PASRR identified specialized services. This Iowa PASRR webinar will offer specific guidance on how to successfully complete a PASRR Service Matters Review, including: 

    • How to write a PASRR Compliant Care plan 
    • Where to find the Iowa PASRR NF Level II Care Planning Tool, and how to use it 
    • How to ensure that PASRR identified services are being delivered 
    • Options for documentation that PASRR identified Specialized Services (SS) are being delivered 
    • How to complete the Service Matters Review Form 
    • How to ensure full PASRR compliance for SS, RS, and CPS
    • Common compliance issues that arise during Service Matters reviews

    Register in advance for this webinar:

    PASRR Status Change/Resident Reviews & When to Complete Them

    Please join us on Tuesday, December 21, 2021, at 2:00 p.m. CST for an Iowa PASRR hour and a half Webinar, as part of our continuing education series. The webinar will take a deep dive into the issues surrounding when to submit a new PASRR 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 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 for someone with a previous Negative Level I PASRR? 
    • What might trigger a need for a Status Change for someone who has previously been identified to be in the PASRR Level II population? 
    • Ways to ensure you are compliant with Status Change PASRRs 
    • What we mean when we say - "When in doubt, submit a new PASRR" 

    Register in advance for this webinar:


    Powers of Attorney, Legal Guardians and Conservators, Office of the Public Guardian - Two Part Series (Part One)

    Please join us on Tuesday, January 4, 2022, at 2:00 p.m. CST for the initial installment of a two-part series in our Iowa PASRR Technical Assistance webinars. We'll offer an overview of issues surrounding Powers of Attorney, and court ordered Legal Guardians and Conservators, how they are impacted by the cognitive capacity and health status of the individuals we serve, and many questions that arise as we try to understand the differences, similarities, and implementation issues involved with each. PASRR frequently identifies a need for individuals to undergo an assessment and/or decision-making process about the need for designation of Substitute Decision Makers. We'll explore and address some of the many questions that our attendees may have. We'll be joined by Jennifer Donovan of the Iowa Office of the Public Guardian, who will share her knowledge with us and address some common issues that frequently arise.

    We hope it will further empower you to help individuals in Iowa enhance their quality of life! The webinar will be moderated by Maximus Program Manager, Brad Goodin, and Lila Starr, PASRR Program/Contract Manager for Iowa DHS.

    Register in advance for this webinar:


    Understanding Powers of Attorney, Legal Guardians and Conservators, Office of the Public Guardian - A Two Part Series (Part Two)

    Please join us on Tuesday, January 18, 2022, at 2:00 p.m. CST, for the second of a two-part series in our Iowa PASRR Technical Assistance webinars where we'll offer an overview of issues surrounding Powers of Attorney, and court ordered Legal Guardians and Conservators, how they are impacted by the cognitive capacity and health status of the individuals we serve, and many questions that arise as we try to understand the differences, similarities, and implementation issues involved with each. We'll be joined by Jennifer Donovan of the Iowa Office of the Public Guardian, who will share her knowledge with us and address some common issues that frequently arise.

    Part 2, which will be held on January 18th, will address the important legal differences between Powers of Attorney for Healthcare and Financial matters, Guardianships, Conservatorships, and when each of these may be appropriate for an individual. Jennifer Donovan of Iowa's Office of the Public Guardian will present information to nursing facility and hospital providers to help providers understand what to do when individuals, families, or PASRR identifies a need for consideration of powers of attorney and/or guardians and conservators.

    We hope it will further empower you to help individuals in Iowa enhance their quality of life! The webinar will be moderated by Maximus Program Manager, Brad Goodin, and Lila Starr, PASRR Program/Contract Manager for Iowa DHS.

    Register in advance for this webinar:

    Community Placement Supports / Discharge Planning / PASRR Compliant Care Planning

    Please join us on Tuesday February 1, 2022, at 2:00 p.m. CST for an Iowa PASRR Webinar 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:


    PathTracker Plus (PT+) for Nursing Facility Social Workers, Administrators, & Business Office Staff

    Please join us on Tuesday, February 15, 2022, at 2:00 pm CST, for an Iowa PASRR Technical Assistance webinar of up to 90 minutes, as part of our continuing education series.

    This Iowa PASRR Webinar is specifically designed for the staff in your NF who are involved in making admission, transfer, and discharge notifications into PathTracker Plus, which is a feature of the 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 (PT+) has been mandatory since February 1, 2016. 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 paper CAR form in the past, must now be made only in the electronic PathTracker Plus system.

    Register in advance for this webinar:


    Overview of PASRR for Individuals who meet NFMI Level of Care - (Nursing Facilities for persons with Mental Illness- NFMI)

    Please join us on March 1, 2022, at 2:00 p.m. CST for a webinar of up to 90 minutes, regarding individuals whose PASRR indicates that the person meets NFMI Level of Care (Nursing Facilities for persons with Mental Illness). This webinar will provide an overview of what the expectations are for nursing facilities who support individuals who have very high behavioral health needs and meet the NFMI level of care. There are 168 nursing facilities in Iowa who have accepted individuals who meet NFMI level of care (LOC), in addition to Iowa's three NFMI facilities of Davis Center in Bloomfield, Pillar of Cedar (formerly known as Country View) in Waterloo, and Southeast Iowa Behavioral Healthcare center (formerly known as Dave's Place) in Keokuk. All hospital discharge planners and NF staff are invited to attend this essential webinar, because there are many occasions where this LOC is requested by various LI submitters and it is important to understand how and when to request the highest level of care that a PASRR can approve. We also wish to invite representatives of any other NFs who are considering self-identifying as a facility that can meet these very high behavioral health needs, MCO Care Managers, LTC Ombudsman staff, and anyone who wants to understand the NFMI approval process better. The discussion will provide you guidance on: 

    • Who is and is not appropriate for NFMI level of care determination,
    • Importance of NF making a conscious choice to "self-select" as a facility that can meet these needs before considering accepting individuals with this LOC,
    • Definitions of PASRR Identified Specialized Services that are unique to NFMI, including: 
    • Functional Assessment and Behavior Based Treatment Plan 
    • Along with a discussion of: Expectations of DHS, MCOs, Maximus, and DIA regarding care planning, service delivery, and compliance.

    Register in advance for this webinar:


    PASRR & Individuals with History of Dependent Adult Abuse, Child Abuse, Court involvement, or Other Complex Factors
     
    Please join us on Tuesday, March 15, 2022, at 2:00 p.m. CST for a webinar of up to 90 minutes, which offers an overview of Preadmission Screening and Resident Review - PASRR - and considerations when PASRR is being conducted for someone with current involvement in the Adult Protective Services system or a 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. We have seen a significant increase in the number of PASRR assessments involving individuals who have also been identified as dependent adults by DHS, and where Dependent Adult Abuse assessments are co-occurring with PASRR or have recently been undertaken. We see other situations where a court orders regarding placement or other criminal/legal history and/or child abuse history, have a significant impact on the individuals and may impact the services identified by PASRR. In such cases, it can be beneficial for the individual and their support network if/when those involved in PASRR can collaborate effectively with those involved in Adult Protective Services (APS) or child protective services system regarding any significant information that might impact treatment or placement needs. PASRR also needs to know when there are any protective court orders pertaining to placement, court ordered mental health commitments, and the service identification and delivery that may follow. 

    This webinar will be very useful for DHS and Adult Protective Services (APS) system staff who need to have some understanding of PASRR, and PASRR submitters and providers who need to have some understanding of how these issues can impact their role in the service identification and service delivery for the individuals that we serve. This webinar will offer guidance on:

    • Who/What/When/Why/and How of PASRR 
    • What information is needed to complete a thorough Level II evaluation and Summary of Findings? 
    • When PASRR requests Abuse information, what happens with it? 
    • Why court orders and legal/criminal histories become important matters in such cases 
    • How do we define, “dependent adult” in Iowa?
    • How Dependent Adult Abuse Assessments or protective services involvement impact PASRR and service delivery within the nursing facility.
    • The benefits of a collaborative process between PASRR and DHS staff engaged in Dependent Adult Abuse Assessments or other protective services issues

    Register in advance for this webinar:


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

    Please join us on Tuesday, March 29, 2022, 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 overview of some of the many ways that it is possible to understand compliance and achieve full compliance with PASRR. The discussion will provide guidance on:

    • Quick review of understanding the Level I Outcomes
    • Quick review of how to review a Level II summary of Findings?
    • What are the most common Level I Compliance Issues?
    • What are the most common Level II Compliance Issues?
    • What is a Status Change/Resident Review in PASRR and how does submission of them impact compliance?
    • How the Service Matters review process relates to achieving compliance?
    • How do DHS/Maximus/DIA and others review NF/NFMI Care Plans for PASRR compliance?
    • How and when do we need to Implement and verify that Discharge Planning is occurring?
    • Attendees will learn to identify many ways that one can be compliant or non-compliant with PASRR and how that impacts the lives of the very real people we serve

    Register in advance for this webinar:


     

  • EVENT ANNOUNCEMENT: Register for 10/5 Webinar - PASRR 101: An In-Depth Look into the Basics of Preadmission Screening and Resident Review

    Please join us on Tuesday, October 5, 2021, at 2:00 p.m. CST for an Iowa PASRR 101 webinar. It is intended to give those who are new to PASRR an opportunity to start from scratch, spend an hour with us, and become familiar with the basics. This webinar is also intended to offer an opportunity for nursing facilities, hospitals, hospice, in-home health, RCF, PACE, MCOs community mental health center staff members, and any other interested parties, to learn with us. This webinar should be viewed as a pre-requisite to other training offered by DHS and Ascend/Maximus about PASRR in Iowa, although it can also serve as a useful refresher for many.

    The discussion will provide guidance on:

    • History and purpose of the federally mandated PASRR program
    • Links between PASRR and the Supreme Court Olmstead Decision
    • Who receives a PASRR?
    • PASRR Level I and Level II Information needed to complete a thorough Level II evaluation and Summary of Findings
    • PASRR in Iowa - unique features
    • A very brief overview of PASRR compliance and why it is important


    Click the link below to register in advance for this informative session. After registering, you will receive a confirmation email with instructions on how to join the webinar.

  • EVENT UPDATE: 9/21 Webinar - Understanding the Federal Initiatives with the MDS 3.0 and How it Intersects PASRR - Has Been Cancelled

    Please be aware that the the Iowa PASRR Webinar that was scheduled for tomorrow, September 21, Understanding the Federal Initiatives with the MDS 3.0 and How it Intersects PASRR, has been cancelled. This webinar will be presented at a later date and time, to be announced soon.

    Our next planned Iowa PASRR program sponsored webinar will be PASRR 101, taking place on Tuesday, October 5 at 2:00 p.m. CST. Be on the lookout for registration details, as well as information regarding the next PASRR webinar series coming in the weeks ahead.

  • Quarterly Newsletter - AssessmentPro Submission Tip | Register for 9/21 Webinar

    In this latest Quarterly Newsletter we've gathered some important updates and reminders for Iowa Providers, including a best practice tip for using the digital upload feature in AssessmentPro versus material submission via fax, as well as an overview and registration details for the upcoming PASRR Technical Assistance Webinar coming up on Tuesday, September 21.
     

    ASSESSMENTPRO TIP: Uploading Files Directly to the System
     
    AssessmentPro simplifies the submission process, making uploading both easier and faster than faxing. A few advantages of direct system submission of supporting documentation include:
     

    1. Immediate receipt confirmation
      The moment you upload, you can see the documents on the individual's assessment record. This allows you to confirm receipt of those materials by Maximus in real time.
       
    2. Speed up the process
      Documents get to Maximus more quickly, reducing delays for you and the individuals you're serving.
       
    3. Avoid potential fax issues
      Direct system upload allows AssessmentPro users to avoid any potential issues with fax receipt or document clarity. If a fax line goes down, users who upload do not experience any delays. Uploaded documents do not have distorted text, which can potentially occur with a fax. 
       

    REGISTER: Upcoming Iowa Technical Assistance Webinar
     
    Understanding the Federal Initiatives with the MDS 3.0 and how it intersects PASRR 
    2:00 p.m. - 3:30 p.m. CST | Tuesday, September 21, 2021

    Please join us on Tuesday, September 21, 2021 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 complete the MDS and care plans to further understand the connection between the federal law, MDS 3.0 and the PASRR process to move from the medical model to person-centered care.

    This webinar will include an overview of federal laws that govern PASRR and the MDS process, a brief historical overview of changes in the MDS process toward person-centered care and efforts in the MDS 3.0 form (implemented federally in October 2010) for the federal government to address their mood and behavior as well as giving individuals in the nursing facility a say in the assessment process and their own plan of care. This webinar is intended to provide understanding of the major changes in policy, language and attitudes regarding care for individuals in nursing facility including an individual's right to self-directed care, how they want to live, where they want to live, and exploring mental health needs and improving their overall quality of life.

    SUPPORT: Iowa PASRR Help Desk Contacts

    Phone: 833.907.2777
    Email: IowaPASRR@maximus.com
    Fax: 877.431.9568