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.

System Log In

Iowa PASRR User Management

PASRR Access Coordinator Registration

 Iowa DHS COVID-19 Information

  • For questions on Iowa policy or procedures, contact Iowa Program Manager, Lila Starr: 515.281.5318, or lstarr@dhs.state.is.us.
  • 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."

Tip of the Month:  Iowa PASRR LI screenings and LII assessments are continuing as they were prior to the COVID-19 pandemic.

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

  • Register For Upcoming Provider Webinars: May - September 2020

    Last week we kicked off a series of opportunities for providers to learn more about PASRR in the coming months. The first of these, Overview of PASRR COmpliance of PASRR Level I Screenings, PASRR Level II Summaries, Service Matters and PathTracker+ was held on 5/12. Below are dates and registration links for these informative webinars, geared toward different aspects of the PASRR process, and the various roles we each play in helping those we serve. These training events are designed to be useful to anyone and everyone who may need to have some understanding of or interaction with PASRR. You are highly encouraged to register and attend one or more these informative sessions, all of which are live, interactive, and will offer you a chance to ask any questions that you may have.


    2:00 p.m. - 3:30 p.m. CST | Tuesday, May 26, 2020
     
    PASRR & Individuals with Interest in or History of Child or Dependent Adult Abuse

     
    Please join us on Tuesday, May 26, 2020 at 2:00 p.m. CST for an overview of Preadmission Screening and Resident Review - PASRR and considerations when PASRR is being conducted for someone with 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. Within the past couple of years, we have seen a significant increase in the number of PASRR assessments involving individuals with some history of child or dependent adult abuse, and where Dependent Adult Abuse assessments are co-occurring with PASRR or have recently been undertaken. In such cases, it can be beneficial for the individual and their support network if/when those involved in PASRR can collaborate more effectively with those involved in child or dependent adult abuse assessment, and the service delivery that may follow.
     

    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 history become important matters in such cases
    • How Dependent Adult Abuse Assessments impact PASRR and service delivery within the nursing facility
    • The need to understand determinations of legal capacity/competence, Powers of Attorney, Gaurdianships, Conservatorships, and the role they play in abuse determination and PASRR

     
    Click Below to Register:
     
    PASRR & Individuals with Interest in or History of Child or Dependent Adult Abuse
     
    2 p.m. - 3 p.m. CST, Tuesday, May 26, 2020

    *NOTE: This webinar is an hour and a half long. Please plan accordingly if you attend.

    ___________________________________________________________________________________________________________


    2:00 p.m. - 3:00 p.m. CST | Tuesday, June 9, 2020  
     
    PASRR Status Changes & When to Complete Them

     
    Please join us on Tuesday, June 9, 2020 at 2:00 p.m. CST for an Iowa PASRR 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 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 population, with a Level II PASRR?
    • Ways to ensure you are compliant with Status Change PASRRs
    • When in doubt, submit a new PASRR

     
     
    Click Below to Register:
     
    PASRR Status Changes/Resident Reviews & When to Complete Them
     
    2 p.m. - 3 p.m. CST, Tuesday, June 9, 2020

    ___________________________________________________________________________________________________________


    2:00 p.m. - 3:00 p.m. CST | Tuesday, June 23, 2020
     
    How to Successfully Submit a PASRR Level I Screening

     
    Please join us on Tuesday, June 23, 2020 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, 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 enter all necessary information to complete and submit a Level I PASRR screen and what documents are needed at the point of submission. This webinar will provide information on:
     

    • Who gets a Level I PASRR Screening
    • What information is required in a Level I Screen Submission
    • Which documents to provide up front in an effort to help the process work as quickly and efficiently as possible
    • What are the best practices for completing thorough and timely screenings
    • The various outcomes of Level I screenings in Iowa

     
    If you are a Hospital Administrator, hospital discharge planner, a nursing facility administrator, nursing facility DON or social worker, 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, 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.  
     
     
    Click Below to Register:
     
    How to Successfully Submit a PASRR a Level I Screening
     
    2 p.m. - 3 p.m. CST, Tuesday, June 23, 2020

    ___________________________________________________________________________________________________________


    2:00 p.m. - 3:00 p.m. CST | Tuesday, July 7, 2020
     
    PASRR Abbreviated Level II Outcomes: Exemptions & Categorical Outcomes

     
    Please join us on Tuesday, July 7, 2020 at 2:00 p.m. CST for an Iowa PASRR Technical Assistance webinar, 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 understand a Level I PASRR screen that leads to an outcome of a 30-day Exemption from a full Level II or a Categorical Outcome, which also delays the full Level II process. This webinar will provide information on:

    • When is it appropriate to request an exemption?
    • What does it mean to be "exempted" from PASRR for 30 days
    • What is a "categorical outcome" and what does this mean?
    • Which documents to provide up front in an effort to help the process work as quickly and efficiently as possible?
    • What are the best practices for completing thorough and timely screenings
    • What to do when you are not reporting a PASRR Condition but PASRR requests that you send a Certification

    If you are a Hospital Administrator, hospital discharge planner, a nursing facility administrator, nursing facility DON or social worker, or anyone else who may submit PASRR Level I screens, then this webinar is for you.

     
    Click Below to Register:
     
    PASRR Abbreviated Level II Outcomes: Exemptions & Categorical Outcomes
     
    2 p.m. - 3 p.m. CST, Tuesday, July 7, 2020

    ___________________________________________________________________________________________________________


    2:00 p.m. - 3:00 p.m. CST | Tuesday, July 21, 2020  
     
    Overview of PASRR and Nursing Facilities for persons with Mental Illness (NFMI) Individuals who meet NFMI Level Of Care
     

    Please join us on Tuesday, July 21, 2020 at 2:00 p.m. CST for a special webinar in the Iowa training series regarding individuals who's 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 accept individuals who have very high behavioral health needs and meet the NFMI level of care.  
     
    There are currently 168 nursing facilities in Iowa who have accepted individuals who meet NFMI level of care at the present time, 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 facilities who are presently caring for someone who meets NFMI level of care are invited to attend this essential webinar. 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. The discussion will provide you guidance on definitions of PASRR Identified Specialized Services that are unique to NFMI, including:

    • Functional Assessment
    • Behaviorally-Based Treatment Plans

    As well as a discussion on:

    • Expectations of Ascend, DHS and DIA
    • Ways to improve care planning
    • How to know if you are the right fit for someone with this type of outcome

    Click Below to Register:
     
    Overview of PASRR and Nursing Facilities for persons with Mental Illness (NFMI) as the Level Of Care
     
    2 p.m. - 3 p.m. CST, Tuesday, July 21, 2020

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    2:00 p.m. - 3:00 p.m. CST | Tuesday, August 4, 2020
     
    How to Successfully Complete a PASRR Service Matters Review

     
    Please join us on Tuesday, August 4, 2020 at 2:00 p.m. 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 identified as needing one or more "Specialized Services," Ascend will monitor whether the NF has developed a PASRR compliant care plan that includes all PASRR identified services 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. This webinar will provide you specific information on:  

    • How to write a PASRR Compliant Care plan
    • Where to find the Iowa PASRR NF Level II Care Planning Tool, and the video on how to use it
    • How to ensure that PASRR identified services are being provided
    • What information is needed to document that PASRR identified Specialized Services (SS) are being delivered
    • How to complete the Service Matters Form
    • How to ensure full PASRR compliance with regard to service delivery

     
    Click Below to Register:
     
    How to Successfully Complete a PASRR Service Matters Review
     
    2 p.m. - 3 p.m. CST, Tuesday, August 4, 2020

    ___________________________________________________________________________________________________________


    2:00 p.m. - 3:00 p.m. CST | Tuesday, August 18, 2020
     
    PathTracker+ for Nursing Facility Social Workers, Administrators, & Business Office Staff

     
    Please join us on Tuesday, August 18, 2020 at 2:00 p.m. 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 making admission, transfer, and discharge notifications to Iowa Medicaid and 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. We recommend attendance in this webinar for facility administrators and business office staff, as well as those typically involved in PASRR, within the nursing facility.
     
    The use of PathTracker Plus 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 any and 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 in the past, must now be made only in the electronic PathTracker Plus system.

    • How to make entries into PathTracker Plus System
    • Time Frames for submission of Admission, Discharge, and Transfer notices, and their impact on the individual
    • How PathTracker Plus informs Iowa Medicaid and income maintenance workers in the DHS Centralized Facilities Eligibility Unit (CFEU)
    • Why your NF should never again submit a "paper CAR" form


     
    Click Below to Register:
     
    PathTracker+ for Nursing Facility Social Workers, Administrators, & Business Office Staff
     
    2 p.m. - 3 p.m. CST, Tuesday, August 18, 2020

    ___________________________________________________________________________________________________________


    2:00 p.m. - 3:00 p.m. CST | Tuesday, Sept. 1, 2020  
     
    PASRR 101: an In-depth Look into the Basics of Preadmission Screening and Resident Review

     
    Please join us on Tuesday, September 1, 2020 at 2:00 p.m. CST for the PASRR 101 webinar. It is intended to give those who are new to PASRR or anyone who may need a refresher an opportunity to start from scratch, spend an hour with us, and become familiar with the basics. This webinar is intended to offer an opportunity for nursing facilities, hospitals, hospice and PACE providers, MCOs, community based service providers, community behavioral health agencies, other provider organizations, and interested parties, to learn with us. This webinar should be viewed as a per-requisite to other PASRR training offered by DHS and Ascend/Maximus about PASRR in Iowa, although it can also serve as a useful refresher for many.  
     
    If you plan to join DHS and Ascend/Maximus in any of the face-to-face full day "PASRR Road Show," training events in the Fall of 2020, we encourage you to attend this PASRR 101 event as it will prepare you to develop a deeper understanding of the topics we'll be discussing in those more advanced training events. 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?
    • The basics of PASRR Level I and Level II
    • Information needed to complete a thorough Level II evaluation and Summary of Findings
    • PASRR in Iowa - unique features
    • What is PASRR compliance and why is it important?

     
    Click Below to Register:
     
    PASRR 101 an In-depth Look into the Basics of Preadmission Screening and Resident Review
     
    2 p.m. - 3 p.m. CST, Tuesday, September 1, 2020

     

  • DHS & IME Approve Interim Telehealth Service Options | Spring 2020 Provider Training Cancelled

    DHS & IME Release Notice Outlining Interim Telehealth Solutions

    In light of the evolving public health situation, Iowa Department of Human Services (DHS) and Iowa Medicaid Enterprise (IME) have issued some important protocol changes that all state providers should review. Effective as of March 13th, these interim updates address necessary services, typically defined as direct contact services, by a transition to telehealth solutions where clinically appropriate.

    This includes updates to billing services, premium suspensions, and guidelines for using telehealth when applicable. Click here to download and review these temporary process updates.

    Iowa PASRR - Spring 2020 Road Show Cancelled
     
    MAXIMUS and the Iowa Department of Human Services (DHS) urge everyone to be mindful of the many event restrictions now in place throughout the state of Iowa and across the country, as well as the need for social distancing. In keeping with the many precautions that are needed as we all attempt to address the consequences of the COVID-19 situation, the
    2020 Spring PASRR Road Show, planned for late April - early May has been cancelled.

    The health, safety and well-being of Iowa's providers and the many individuals we serve is our most critical priority. MAXIMUS and DHS will continue to align policies with recommendations put forward by state public health officials, federal agencies offering guidance to us, and the Centers for Disease Control (CDC).

    The Iowa PASRR support team will continue to cover engaging topics in our ongoing Tuesday webinar series. In light of the cancellation of the 2020 Spring PASRR Road Show, we're scheduling two additional webinars in the month of April, and will soon announce a schedule of webinars for May and beyond. Review and register below for these insightful events:

    2 p.m.
    Tue, March 31st
    PASRR 101Click here to register
    2:00 p.m.
    Tue, April 7th
    How to Submit a Level IClick here to register
    2:00 p.m.
    Tue, April 21st
    Nursing Facility for persons with Mental Illness (FNMI) Level of Care and Compliance IssuesClick here to register

     

  • New Tools and Resources Page on MAXIMUS.com to Replace PASRR.com This Evening, March 18th

    As communicated over the last two months, MAXIMUS has launched a comprehensive website redesign, which features a more user-friendly, responsive layout, with formatting for easier use by a variety of devices. Later this evening, March 18th, this new site will replace PASRR.com.

    The new IA PASRR Provider Tools and Resources page can be found here:  
     
    https://maximus.com/svcs/iowa
     
    If you haven't already, be sure to review and bookmark this new link for future reference. Your current user name and password will continue to work on the new site. Currently, IA PASRR resources are available on both PASRR.com and the new MAXIMUS PASRR websites. Beginning tonight, March 18, the current pasrr.com will be decommissioned and content found there will no longer be available. Users attempting to access that URL will be redirected to the MAXIMUS site.
     
     
    The biggest difference we hope you'll notice is that it's easier to find what you are looking for! You may also notice that some of the content is password-protected. These items are indicated by a small "lock" icon next to each link.

    It's a simple 1-2-3 process to access secured content. If an item has a lock next to the text link, follow these steps:

        1. Click on the link, which will prompt a login screen
        2. Enter your current user login name and current password
        3. Proceed with reviewing your document

    *You only need to log in once per web session to view all secured program content.

     

    Have Questions?

    Please direct any questions you have about this change or how to access content to the Iowa PASRR Help Desk:

    Phone: 833.907.2777 (833.90.PASRR)
    Email: IowaPASRR@maximus.com

    As always, you can continue to reach out to Iowa DHS PASRR Program Manager, Lila Starr, with policy issues, compliance questions, and other matters:

    Email: lstarr@dhs.state.ia.us

  • New Iowa PASRR Program Resource Website Now Available for Providers | Review & Bookmark New URL

    The Iowa PASRR program's online resources now have a new home - right here! Last year, MAXIMUS launched a comprehensive website redesign, which features a more user-friendly, responsive layout, with formatting for easier use by a variety of devices. Since that launch, we've been coordinating with Iowa Department of Human Services (DHS) to transition all of the Iowa PASRR program's "provider tools and resources" to this robust new platform.
     
    Be sure to review and bookmark this page (maximus.com/svcs/iowa) for future reference. Your current user name and password will continue to work on the new site.
     
    Currently, IA PASRR resources are available on both the previous PASRR.com and this website. In the coming weeks, content on pasrr.com will be decommissioned. Stay tuned for additional information on this change.

    The biggest difference we hope you'll notice is that the layout is more user-friendly and we expect that it will be easier to find what you are looking for! You may also notice that some of the content is password-protected. Over time, this vital new feature will allow us to provide you with even more targeted training materials and instructional videos that can better support your needs. These items are indicated by a small "lock" icon next to each link.

    It's a simple 1-2-3 process to access secured content. If an item has a lock next to the text link, follow these steps:

        1. Click on the link, which will prompt a login screen
        2. Enter your current user login name and current password
        3. Proceed with reviewing your document

    *You only need to log in once per web session to view all secured program content.

    The transition for the Iowa PASRR Website has in no way affected the layout or functionalities of the existing PASRR system. Once logged into your account, you will see no differences from the current layout or existing processes for PASRR submission, ServiceMatters, PathTracker notices, etc.

    Please direct any questions you have about this change or how to access content to the Iowa PASRR Help Desk:

    Phone: 833.907.2777 (833.90.PASRR)
    Email: IowaPASRR@maximus.com

    As always, you can continue to reach out to Iowa DHS PASRR Program Manager, Lila Starr, with policy issues, compliance questions, and other matters:

    Email: lstarr@dhs.state.ia.us