Nursing Facility Level of Care (NFLOC)
The following Nursing Facility Level of Care information describes the intended use of the forms and presentations listed below:
The Nursing Facility Level of Care (NFLOC) Notification Form is used for prior authorization requests.
The Nursing Facility Level of Care (NFLOC) Communication Form is used by the MCOs and is sent to the nursing facility requesting further Resident information.
The 2013 Nursing Facility Presentation provides an overview of the criteria that are used and the documentation needed for evaluation of the level of care (High NF or Low NF) applicable for a nursing home Resident.