Iowa Web Based Home Page
Ascend Iowa Help Desk: 1-877-431-1388, extension 3403, ask for the Iowa PASRR Representative or email:

Ascend Fax Number:

For information about how to obtain Specialized Services for Medicaid members,
contact Magellan of Iowa at 800-638-8820 or visit:

For questions on policy or procedures in Iowa, contact Iowa Program Manager Lila Starr: 515-281-5318 or

For provider tools, frequently asked questions, training opportunities, and other announcements, please scroll down to find historical information.

Information on Medicaid Modernization can be found on the dedicated web page at:

The Iowa Department of Human Services (DHS), Mental Health and Disability Services (MHDS) and Iowa Medicaid Enterprise (IME) are pleased to announce the full implementation of Web-Based PASRR Tracking, known as PathTracker, beginning on September 1, 2015. PathTracker is a web-based tracking system for PASRR, which was originally announced to all PASRR providers on 2/27/15, through IME Information Letter No. 1482. The Information Letter No. 1482 was emailed to all providers and posted to this site. The anticipated implementation of PathTracker on September 1, 2015, was also announced at Statewide training sessions held in multiple locations throughout the state from July 13-17, 2015. Training materials and tools utilized in those sessions have also been posted to the Iowa PASRR Providers website.

The same web-based system used in initiating a Level I screening now has additional features which will be useful for nursing facilities. The system offers nursing facilities better access to PASRR records for their residents, even for those that have transferred from other facilities. It also allows facilities to easily print PASRR information for patient charts. Additionally, the system is used to track admissions, discharges, and transfers. The department is currently working on a process that would deliver information on nursing facility admissions, discharges, and transfers from the PASRR system to the DHS Centralized Facility Eligibility Unit, to be used in place of a Case Activity Report. When this new process is complete, the use of the system will become mandatory and will be linked to payment.

The department encourages all nursing facilities to begin using the PASRR web-based system on or before September 1, 2015, as it is now being fully implemented and required. We anticipate implementing the next phase, which will include the links to payment and the elimination of the CAR form by early 2016. More information will be provided prior to the implementation of the links to payment. To assist facilities in using the system, a nursing facility user guide is available below under Provider Tools.

If you have any questions or concerns, please contact Lila Starr, Iowa PASRR Program Manager, at (515) 281-5318 or by email at

Upcoming National Conference in Oklahoma, focusing on PASRR and Older Adult Mental Health:

The Wellness: Building Capacity for Tomorrow's Older Adults conference will be held at Oklahoma State University - Tulsa, OK, on September 24-25, 2015. All PASRR providers and individuals with interest in older adult mental health and/or PASRR are welcome to register and attend.

Click here to register and for more information
Click here to view the conference agenda

The Iowa Department of Human Services (DHS), Mental Health and Disability Services (MHDS) and Iowa Medicaid Enterprise (IME) are pleased to announce the release of Care Planning Tools for use in the development of high quality, PASRR compliant, nursing facility care plans. DHS and Ascend Management Innovations urge providers to take advantage of these new tools, which were reviewed in the PASRR Provider Trainings that took place the week of July 13-17, 2015.

The Iowa Care Planning Tools have been added to the Provider Tools section of this page. The tools include:
> Guidelines for Use of the Iowa PASRR Care Planning Tool,
> Iowa PASRR Care Planning Tool - Instructions, and
> Iowa PASRR NF Level II Care Plan Tool

The tools will be available from now on in the Provider Tools section of this page - scroll down to access the tools.

Over the last year, the PASRR Technical Assistance Center (PTAC) reviewed and provided feedback to each state on their PASRR Level I Screening Tool. In response to PTAC's findings, Ascend has worked with state officials to make small enhancements to strengthen the clinical screening component of your state's Level I Tool. We will be rolling out this enhanced Level I Tool in the coming weeks.

Provider workflow will not change.

WHAT WILL CHANGE: The updated Level I Tool will begin asking Providers to report on past symptoms and behaviors and to estimate when the most recent mental health symptoms and behaviors, treatment history, and substance abuse occurred.

Notice to PASRR Submitters, Providers, and Individuals Receiving Assessments: To further enhance HIPAA compliance an protect confidential information and rights of the individual receiving PASRR-related assessments, Ascend has discontinued the distribution of Notice of Determination copies to entities listed in the Admitting Nursing Facilities field of the PASRR Level I referral form. This change is due to the fact that admitting plans change and in most cases, the Individual will not have actually been admitted to the Facility indicated at the time of the Level I Referral. The Level I Submitter is responsible for sharing a copy with the Nursing Facility to which the individual will be admitted prior to admission. For individuals who are approved for Nursing Facility admissions, the receiving nursing facilities can also obtain a copy of this paperwork by completing an admission notice through PathTracker, the State's PASRR tracking system. Notice of Determination letters will continue to be sent to submitting facilities, the individual or his/her legal representative, and his/her physician. If you have any questions about this change, please contact the Ascend Iowa Help Desk at 1-877-431-1388, extension 3403, ask for the Iowa PASRR Representative, or contact the Iowa Program Manager, Lila Starr: 515-281-5318 or

A message to Iowa PASRR providers from DHS:

The Iowa Geriatric Education Center (IGEC) is pleased to announce the 2015 Geriatric Lecture Series. They are once again able to offer the Geriatric Lecture Series at no cost to you! This series offers an excellent way to earn nursing CEUs while learning about the latest practices in addressing the needs of older Iowans from your own computer. Each lecture in the series is available to you for one month, and you can view it any time that is convenient for you. The CEUs will be earned if you complete the evaluation at the conclusion of each lecture.

The first lecture is scheduled to be available ot view on Wednesday, April 1. This year's series will run from April to December.

If you wish to register for the series, you must simply send an e-mail to the IGEC with your name, your discipline (e.g. nursing, social work, medicine), and your organization or facility name and they will register you. Please send your email to: You will receive your registration confirmation e-mail from IGEC within a week or so. It will include your username and password for accessing the lectures.

A flyer that includes the schedule for the series is available under Provider Tools. Feel free to share it with your colleagues. As always, the order of lectures is subject to change due to presenters' schedules. Additional information and any changes will be noted on the IGEC website

Iowa Department of Human Services Informational Letter No. 1482 is to serve as a reminder about requirements for submission of a resident review when a member has a status change, and to provide additional information regarding the use of the web-based tracking system for PASRR. This important letter is available through the IME website. Click here to access Informational Letter No. 1482

Iowa DHS would like you to be aware of how to access the latest issue and past issues of Aging Watch, as well as how to subscribe:

The Iowa Department on Aging is pleased to announce the Dec. 23, 2014 issue of AgingWatch has been posted online at:

This issue and past issues are archived on the Department website at:

Feel free to share this publication with others. Subscription information is inlcuded on the last page.

Click here to view instructions for reporting DSM-5 diagnoses to Ascend.

A message to Iowa PASRR providers from DHS:

Iowa Medicaid Enterprise letter #1434 offers information about resources for individuals with disabilities and specialized services that may be needed to meet their needs. Click here to access the letter.

If you were unable to attend one of the provider training webinars on the changes to Iowa PASRR, including the use of PathTracker, or would like to review the presented information, click here to view a recorded session.

On July 28, 2014, Ascend emailed a notification to all Iowa providers to announce changes in the coming months. Starting August 1, 2014, Ascend will begin a new follow-up process for PASRR Level II Specialized Services (SS) recommendations. Monday, September 22 through Friday, September 26, Ascend will hold daily WebEx (webinar) training sessions on a new tracking system that will be offered to nursing facilities. In October, the tracking system will be available and Ascend will begin making time-limited PASRR approvals and performing quality assurance follow-up on 100% of PASRR SS recommendations and on a sample of negative PASRR Level I screens submitted.

To view the full July 28 notification with more details, click here. If you have any questions or concerns about these new processes, please contact Ascend Support Specialist Amanda Oller at or 877-431-1388 ext. 3403 or Lila Starr, Iowa MHDS PASRR Program Manager, at 515-281-5318.

 PASRR Tip of the Month
  • Report New Discharge/Transfer Notice
    This function on PathTracker is used to report when and where a client has discharged to or from your facility. You will need to report the admission and discharge dates (cannot report a future date), as well as the location to which the client has discharged. There are several scenarios which require information to be reported on the notice. Here are a few examples of how to report the discharge properly:

    Discharged to home, assisted living facility, or residential care facility:
    Input proper admission and discharge dates, select the Home option, leave the drop-down menu blank, fill out the address of the home in the fields below, input your telephone number, and click submit.

    Transferred to another facility:
    Input proper admission and discharge dates, select Other Nursing Facility, select proper facility from drop-down menu, input your telephone number, and click submit.

    Transferred to a hospital:
    Input proper admission and discharge dates, select Hospital, select proper hospital from drop-down menu, input your telephone number, and click submit.

    Client did not admit to your facility but shows in your queue:
    Input today' s date as both the admission and discharge dates, select Other Institution, leave remaining fields blank, input your telephone number, and click submit.

    Client has deceased:
    Input proper admission and discharge dates, select Deceased, leave remaining fields blank, input your telephone number, and click submit.
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