MedicaidAdministrativeMedium impact
MSA 18-39
Michigan Medicaid - MDHHS·MI · Geriatrics, Internal Medicine, Family Medicine·Provider Bulletin
Effective date
Nov 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has updated the Nursing Facility Level of Care Determination (LOCD) process, requiring face-to-face assessments by qualified health professionals to be entered in CHAMPS within 14 days. The LOCD now follows the beneficiary rather than the facility, and providers must complete Freedom of Choice forms for each program change.
Action Required
For Michigan providers serving nursing facilities and long-term care: Ensure all LOCD assessments are conducted face-to-face by qualified health professionals and entered in CHAMPS within 14 calendar days. Complete hard-copy Freedom of Choice forms when beneficiaries change programs or providers. Monitor LOCD end dates (365 days from conducted date) to avoid eligibility interruptions and billing disruptions. Update billing workflows to verify current LOCD exists in CHAMPS before submitting Medicaid claims.