December 6, 2018: Nursing Facility LOCD Reminder

December 6, 2018: Attention Nursing Facility Fee For Service Providers: Effective January 1, 2019, per MSA 18-48, all Level Of Care Determinations (LOCD), including those conducted by a nursing facility, must be conducted prior to or on the day of an individual’s admission. The LOCD must be conducted face-to-face by a qualified and licensed health professional.

  • Nursing facilities will continue to have 14 days from the conducted date to enter the LOCD in CHAMPS.
  • If there is a significant change in condition prior to entering the admission date LOCD in CHAMPS, then a new LOCD should be conducted.
  • Both LOCDs must be entered in CHAMPS with the appropriate conducted dates.

In addition, nursing facility providers should be aware that the lookback period requirements for the LOCD are defined differently from the observation period requirements for the MDS (Minimum Data Set). Per MSA policy, the nursing facility provider can utilize many different methods on the day of admission for assessing LOCD criteria, including but not limited to; outside medical documentation, day of observations, and resident and caregiver interviews.

Future training dates will discuss additional CHAMPS LOCD system changes. Training dates and times will be posted on the Medicaid Provider Training website:,5885,7-339-71551_2945_5100-127606--,00.html