MDS and PASRR Changes

I am struggling to find an answer to a question and I would like to know what other social workers are doing in regards to a significant change on the MDS and the PASRR.  Ascend says that a new PASRR is required every time a significant change occurs regardless of cause, i,e, physical decline or improvement.  Barb Brown, RN, at Medicaid says “no, only when the change is related to mental health.”  She suggested I call IME.  I did and they gave me a contact person but did not hear back.  What are others doing?  Any suggestions?

Marcia Pitt, Longview Home, Missouri Valley