Institutional Level of Care Redesign

Disabilities Assistance
Developmental Disabilities

What would you like to do?

What you need to know

Level of Care Redesign Summary

The Division of Developmental Disabilities and Division of Medicaid and Long-Term Care, along with the Optumas Healthcare consulting team, are working to design the most appropriate and effective institutional level of care (LOC) assessment criteria and tools to achieve our mission of helping people live better lives.

  • A Technical Advisory Group (TAG) will serve both phases. It will include clinical, academia, provider, and policy perspectives.
  • Each phase will have listening sessions for adults and children, which include families, people in services, and advocates.
  • Each phase will have a statewide stakeholder webinar posted to this website with the project overview and outcomes.

Proposed Regulations for NF Level of Care

The Department of Health and Human Services (DHHS) is requesting input and comment from interested stakeholders who may be impacted by proposed updates to regulations. Recently, a draft of 471 NAC 43, which revises the Nursing Facility Level of Care (NF LOC) criteria for children, was posted to the proposed regulations website.

DHHS hosted two comment session on these draft regulations. These sessions were identical and the proposed changes to the regulations were reviewed. To submit a comment on draft regulations outside of these meets, please send an email to


Phase I - Nursing facility level of care

Phase II - Intermediate care facility for the developmentally disabled level of care


Timeline for Phase I - Details for May through October 2019.

Timeline for Phase I Update - Details for May through December 2019.

Timeline for Phase II Update - Details for October 2019 through May 2020.


Institutional Level of Care Presentation (June 16, 2020)

DHHS held a Webex Presentation for the Institutional Level of Care Assessment Project. Optumas presented findings from Phase II: Intermediate Care Facility (ICF) Level of Care.

Nursing Facility Level of Care Presentation (June 2, 2020)

DHHS held a Webex Presentation for the Nursing Facility Level of Care Assessment Project. Optumas presented findings from Phase I: Nursing Facility (NF) Level of Care.

Intermediate Care Facility (ICF) Listening Session (April 22, 2020)

DHHS held a Webex Listening Session for the Institutional Level of Care Assessment Redesign Project. The purpose was to hear from stakeholders on Phase II: Intermediate Care Facility (ICF) Level of Care Assessments. The ICF Listening Session covered Child and Adult processes.