Overview

Individuals seeking Home and Community Based Services (HCBS) must meet nursing facility Level of Care (LOC). This measures the same eligibility criteria required for entry into a nursing facility as outlined in 19 CSR 30-81. LOC is determined during (re)assessments completed by Division of Senior and Disability Services (DSDS) staff or their designee.

DSDS utilizes the InterRAI HC tool to conduct assessments. Based on the information gathered, algorithms within the electronic case record system determine the LOC score in individual categories. With an assessed LOC score of 18 points or higher, an individual is determined to be qualified for LOC and eligible for HCBS. If the individual does not meet LOC, they are determined to be ineligible for HCBS.

For more information, contact us at QIQA@health.mo.gov.