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December 10 2025 LOCD Passive Redetermination Process being Reinstated
December 10, 2025: Attention Nursing Facility Providers: This notification is an update to the previously issued provider alert posted January 16, 2024, advising the LOCD Passive Redetermination process would be turned off. Beginning Friday, December 19, 2025, MDHHS will be reinstating the LOCD Passive Redetermination process for all incoming MDS assessments.
Review the following LOCD Passive Redetermination resources:
- The Medicaid Provider Alerts webpage > Institutional > Skilled Nursing Facility (SNF). LOCD Passive Redetermination: Recording, PDF, Q&A
- The Medicaid Provider Manual, Chapter: Nursing Facility Level of Care Determination, Section: 8 Passive Redetermination of Functional Eligibility and subsections:
- 3.8.A. LOCD Doors Addressed by Passive Assessment
- 3.8.B. Passive Redetermination Process
- 3.8.C. Passive Redetermination Decisions
- 3.8.D. Need to Conduct a New LOCD
- Medicaid Policy Bulletin MMP 24-53 - Updates to Level of Care Determination (LOCD) Policy.
LOCD Doors Addressed by Passive Assessment: The passive redetermination process will no longer confirm Door 5: Skilled Rehabilitation Therapies for all assessment types. Passive determination will not create Door 5 for any provider type. Current eligible Door 5 records will be treated the same as Door 4 in the passive process. If the beneficiary is currently eligible under Door 5 and the passive process cannot confirm eligibility, there will be no change to the existing LOCD or end date. The provider will need to complete an in-person LOCD assessment with the beneficiary to determine LOCD eligibility before the end date of Door 5.