Your State

Outstanding Service Across the Country

Ascend conducts services in the following states:

 

CALIFORNIA

PASRR Level II
The California Department of Health Care Services (DHCS) has contracted with Ascend, as MAXIMUS Health Services, to perform on-site Level II evaluations for individuals suspected of having mental illness for the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are employed. PASRR’s primary goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.

 

CONNECTICUT

PASRR
Ascend partners with, the State of Connecticut, Department of Social Services to perform Preadmission Screening and Resident Review (PASRR) on individuals who are applying to, or residing in, Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. We also assist the Department with provider compliance monitoring and perform nursing facility Level of Care Determinations.

Specialty Assessments
Ascend also performs other specialty waiver programs. For all onsite, face-to-face evaluations on individuals residing in Connecticut, Ascend contracts with Connecticut-based licensed and experienced clinicians. These professionals have extensive experience in the field of mental health and other disabilities and are fully credentialed and comprehensively trained. With each assessment performed, Ascend’s Quality team monitors performance, measures compliance standards and are vigilant about meticulously reviewing each assessment for accuracy and thoroughness. Ongoing feedback is given to the professionals to address any concerns, maintain fidelity, and enhance assessment quality.

 

IOWA

PASRR Level I & Level II
Since 2011, the Iowa Department of Human Services has contracted with Ascend to preform Level I and Level II on-site evaluations for the Preadmission Screening and Resident Review (PASRR) program. PASRR assessment are performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR’s main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.

 

INDIANA

PASRR
Ascend partners with the State of Indiana, Family and Social Services Administration to perform Preadmission Screening and Resident Review (PASRR) Level I screens and Level II IDD evaluations for individuals applying to, or residing in, Medicaid-certified nursing facilities. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used.

 

MAINE

The State of Maine's Department of Health and Human Services, through the Office of Aging and Disability (OADS), has contracted with Ascend, working as MAXIMUS Ascend, to manage its Statewide Assessing Services. This single Assessing Services Agency (ASA) Program encompasses a series of programs, including:

  • Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU 
  • Preadmission Screening and Resident Review (PASRR) Assessments

Ascend, working as MAXIMUS Ascend, provides a variety of different evaluation services for the State of Maine, including:

Long-Term Care (LTC) Advisory
The Long-Term Care (LTC) Advisory is an assessment that provides advice to the individual and family/guardian to determine if the person is eligible for possible facility admission, or in-home services funded through MaineCare or state funded home-based care programs. Individuals choosing to enter a nursing facility must have this type of assessment to comply with the State statutes unless entering under skilled care.

Pre-Admission Screening and Resident Review (PASRR)
Ascend, working as MAXIMUS Ascend, performs on-site evaluations for individuals suspected of having a mental illness, through the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to or residing in Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR's main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also functions as an essential method to help match individuals with the care and services they need.

Acquired Brain Injury (ABI)
Acquired Brain Injury (ABI) is an injury to the brain that results from trauma, infection, vascular lesions, or anoxia. It can result in physical, behavioral or mental dysfunction affecting an individual’s ability to function independently.  This evaluation requires a neuropsychologist evaluation and completion of the Mayo Portland Adaptability Inventory and Health and Safety tool to determine medical eligibility for specialized ABI services eith in the facility setting or at home.

Other Related Conditions (ORC)
Other Related Conditions (ORC) constitute Cerebral Palsy, Epilepsy, or other condition besides mental illness which found to be closely related to Intellectual Disability, resulting in impairment or general intellectual functioning or adaptive behavior, similar to that of persons with Intellectual Disabilities and requires similar treatment or services. The State of Maine requires a Medical Eligibility Determination assessment and completion of the BMS 99 to determine an individual’s medical eligibility for services under the Other Related Conditions Waiver. The program provides community integration through existing natural supports and community relationships, such as Care Coordination, Home Support, Community Support, and Work Support.

ICF/IDD
Intermediate Care Facilities (ICF) are specialized facilities for Individuals with Intellectual/Developmental Disabilities (IDD), or other related conditions, who require care and services above the level of room and board but not that of a hospital or skilled nursing facility. Medical eligibility requires a physician certification that the person have a need for at least 8 hours of licensed nurse supervision per day. The focus of these facilities is to assist individuals to reach their maximal level of functioning capabilities, with healthcare and rehab services while providing 24 hour care.


MISSISSIPPI

ICAP Interviews
Inventory for Client and Agency Planning (ICAP) interviews are performed for individuals with intellectual and/or developmental disabilities and used to determine support needs. Ascend’s best practice specialty assessments are grounded in fairness, equity, consistency, fidelity, and respect.

PASRR Level II
In 2012, the Mississippi Department of Medicaid contracted with Ascend to perform Level II on-site evaluations for the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR’s main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.

 

NEBRASKA

PASRR Level I & Level II
Since 2006, the Nebraska Department of Health and Human Services, Division of Mental Health Services, has contracted with Ascend to perform Level I and Level II on-site evaluations for the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR’s main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or development disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.

 

NEW YORK

PASRR Level II
The New York Department of Health, Office of Community Transitions has contracted with Ascend to perform Level II on-site evaluations for individuals suspected of having a mental illness the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to or residing in Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR’s main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also functions as an essential method to help match individuals with the care and services they need.

 

NORTH DAKOTA

Since 2003, Ascend has provided evaluation services for several programs for the North Dakota Department of Human Services, Medical Services Division, including:

PASRR Level I & Level II
Ascend performs Pre-Admission Screening and Resident Review (PASRR) Level I screens and Level II evauluations 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 also functions as an essential method to help match individuals with the care and services they need.
Money Follows the Person
Ascend conducts the initial screening for eligibility (Level of Care) and makes determinations regarding denials for this transition program.

Children with Medically Fragile Needs
This waiver covers children with high medical needs. Ascend reviews Level of Care screens and notification letters are sent to all parties.

Program for All-Inclusive Care for the Elderly (PACE)
The PACE program offers services for individuals living in the community. Ascend reviews Level of Care screens and sends notification letters to all parties.

Personal Care
Personal Care provides services associated with activities of daily living to individuals living in the community to help them maintain independence. Ascend reviews screens to determine the Level of Care and provides notification letters to all parties.

Home and Community Based Services
This program offers services to provide an alternative to institutional placement for individuals with defined needs. Ascend performs Level of Care screens and sends notification letters to all parties.

Traumatic Brain Injury (TBI)
The TBI waiver provides services to individuals who have TBI and would otherwise be eligible to be admitted to a nursing facility. Ascend performs Level of Care screens annually and send notification letters to all parties.

Under 21 Psychiatric Services
Ascend conducts and manages Certificate of Need review and decisions for admissions of children under age 21 with mental health and substance abuse diagnoses seeking admission or continued stays in acute psychiatric and residential treatment centers. Ascend conducts elective, emergency, and retrospective utilization reviews for persons under the age of 21.

Ascend’s expert clinicians also performs Medical Long Term Care Utilization Review (admission and continued stay reviews) for several other services provided by the State of North Dakota. For each of these services, Ascend has provided extensive training to all providers.

 

OREGON

MED Review
The State of Oregon, Department of Human Services (DHS) has contracted with Ascend, working as MAXIMUS Ascend, to perform mental or emotional disorders (MED) Reviews on individuals under the age of 65 who may have both mental or emotional disorders and physical disabilities. Through the delivery of reliable, conflict-free MED Reviews, this process will accurately assess and determine the primary driver of the need for services. Maximus Ascend recommendations will inform APD Program eligibility decisions for these individuals assisting with understanding which programs may best meet their needs.

 

TENNESSEE

The Tennessee Department of Mental Health, the Department of Intellectual and Developmental Disabilities, and TennCare contract with Ascend to perform the following specialty assessment services:

  • Level II on-site evaluations for the Preadmission Screening and Resident Review (PASRR) program (since 2005)
  • Inventory for Client and Agency Planning (ICAP) (since 2004)
  • Supports Intensity Scale (SIS®) (since 2012)
  • TennCare Choices Program Level of Care Denial Assessments

PASRR
PASRR assessments are performed on individuals who are applying to or residing in Medicaid-certified nursing homes. These federally mandated assessments are used whenever a decision is made that you, or a person you care about, possibly needs nursing facility care. PASRR’s main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also functions as an essential method to help match individuals with the care and services they need.

SIS®
The SIS assessments are performed on individuals with intellectual and/or developmental disabilities and used to determine support needs. Ascend’s best-practice specialty assessments are grounded in fairness, equity, consistency, fidelity, and respect.

TennCare’s CHOICES
TennCare's CHOICES is a waiver program that assists individuals residing in a long term care setting to move into the community. The CHOICES program is based upon meeting specific criteria. If, in the initial assessment, it is decided that an individual does not meet the criteria, Ascend will follow up with an evaluation to ensure accuracy of the original decision.

 

VIRGINIA

PASRR Level II
Since 2001, the Virginia Department of Behavioral Health and Developmental Services has contracted with Ascend to perform Level II on-site evaluations for the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to or residing in Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR’s main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also functions as an essential method to help match individuals with the care and services they need.

SIS®
Since 2014, Ascend has contracted with Virginia to provide Supports Intensity Scale (SIS®) assessments. The SIS assessments are performed on individuals with intellectual and/or developmental disabilities and used to determine support needs. Ascend’s best-practice specialty assessments are grounded in fairness, equity, consistency, fidelity, and respect.