The Level of Care Evaluation Unit (LOCEU) is housed with the Oklahoma Health Care Authority. The LOCEU makes decisions regarding categorical relationships to disability using the same definition as used by the Social Security Administration. A decision of categorical relationship by the LOCEU is required when SSA makes a disability decision effective after medical services are received or if SSA will not make a disability decision.
A referral can be sent to LOCEU if the client is applying for Nursing Care or ADvantage if there is a pending application with Social Security (H80). Level of Care Evaluation Unit referrals are not sent for ABD short term medical applications. If there is no categorical relationship – assist with Agency View to apply for medical through OHCA.
When completing a referral to LOCEU, the AFS worker will send a completed Medical Social Summary form 08MA022E (ABCDM-80-D) and include pertinent medical information substantiating or explaining the individual’s physical and mental condition. The medical information might include physical exam results, psychiatric, lab, and x-ray reports, hospital admission and discharge summaries, and/or doctors’ notes. Medical information must be current (less than 90 days old).
Send the completed referral and all supporting documentation to LOCEU at OHCA. (NOT DHS State office)
- Can be sent by email to LOCEU@okhca.org
The MDL and MDI screens in IMS should show receipt of the information within a week of submission. When additional information is needed, or a decision has been made it will appear on the MDL and MDI screens. These IMS screens must be checked by the AFS worker at least once per week because notification will be sent no other way.
Depending on the results you received from LOCEU, determine whether you certify your application and for what period of time. If approved it will show the MDI will show the certification effective date along with a certification end date. Otherwise, it is certified as you would if you had a SSA/SSI decision.
DO NOT send a referral to LOCEU if:
- the Social Security Administration has determined that the individual is not disabled.
- the request is to relate the individual for receipt of Personal Care
If the referral has been made, and there is nothing displaying on the MDI screen within 10 days, contact OHCA LOCEU at LOCEU@okhca.org.
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