Iowa SNFs/NFs – Reminder of Minimum Data Set (MDS) 3.0 Section Q Referral Process

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

The Iowa Department of Human Services issued an INFORMATIONAL LETTER NO. 1939-MC-FFS today (August 21, 2018) to “remind SNF/NF providers of the current process for MDS Section “Q” referrals to IME (Iowa Medicaid Enterprise).”

The 2-page letter reiterates the “process of contacting IME after completion of the MDS in conjunction with PASRR (Preadmission Screening and Resident Review) whenever an individual has 1) been approved by PASRR for a short-term period of approval for nursing facility care, with a goal of placement in a lower level of care, or 2) self-disclosed through a process other than via the MDS 3.0 Section Q, that they wish to seek transition to a lower level of care.”

Providers are directed to contact Sally Oudekerk, Program Manager with any questions regarding the MDS 3.0 Section Q referral process at

Questions regarding the PASRR program or process are to be directed to Lila Starr, PASRR Program Manager, at, or Ascend Management Innovations, at