PROVIDERS

The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

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.

TitleOpen File
NF LOC Criteria Instructions 2019Open File
NFLOC Notification FormOpen File
Community Reintegration NF Training Phase 3Open File
LTC_Nursing Facility Checklist Final v4Open File
NFLOC Communication FormOpen File
NFLOC Criteria Phase 2 TrainingOpen File
Nursing Facility Joint MCO TrainingOpen File
Short Term Stay Checklist Final v2Open File
Short Term Stay V3Open File