LOCD Policy Updates

The Michigan Medicaid Policy Bulletin number: MMP 24-53, issued November 19 2024, outlines changes to LOCD Policy.

These changes will be effective December 14, 2024:

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 passive process cannot confirm eligibility for an eligible beneficiary, there will be no change to the existing LOCD or end date. The Provider will need to complete an in-person LOCD assessment to determine eligibility before the end date of Door 5

Updates to Electronic LOCD Tool

• The electronic LOCD tool in CHAMPS will add a field for Door 5
• The Provider must indicate if the beneficiary continues to require skilled rehabilitation therapies.

Effective January 1, 2025:

Updates to Verification Review

The Provider will now have 4 calendar days to submit supporting documentation for verification review, instead on 1 business day