You’re offline. This is a read only version of the page.
Skip to main content
SLL
Toggle navigation
Contact Us
Level of Care Redetermination
Is a referral needed?
Submitter Information
Nursing Facility Resident
Quarterly MDS Assessment
Additional ADL's
Submit
Results
Is a referral needed?
Is the person 21 or older?
If no, the referral is not needed
Yes
No
Is the person currently on Medical Assistance (MA)?
Yes
No
Did the first quarterly MDS assessment result in a RUG classification of PA1 or PA2?
Yes
No
Has the person submitted an application for MA?
Yes
No
For those applying for MA, did the most recent quarterly MDS assessment result in PA1 or PA2?
Yes
No
SLL Referral
PAS
LOC Redetermination
