MedicaidAdministrativeMedium impact
MMP 24-53: Updates to Level of Care Determination (LOCD) Policy
Michigan Medicaid - MDHHS·MI · Physical Therapy, Occupational Therapy, Speech Therapy +1 more·Medical Policy
Effective date
Dec 14, 2024
We identified it
Jun 20, 2026
Summary
Michigan updated its Level of Care Determination (LOCD) policy for Medicaid long-term services, changing how Door 5 skilled rehabilitation therapy eligibility is assessed and extending verification review submission time from 1 business day to 4 calendar days. These changes affect nursing facilities, PACE providers, and MI Choice Waiver agencies serving Medicaid beneficiaries.
Action Required
By December 14, 2024: Providers must complete in-person LOCD assessments for Door 5 beneficiaries since passive redeterminations will no longer confirm skilled rehabilitation therapy eligibility. Update workflows to allow 4 calendar days (instead of 1 business day) for submitting verification review documentation starting January 1, 2025. Contact Provider Inquiry at ProviderSupport@michigan.gov for questions.