5000, Level of Care and Level of Need

Revision 22-2; Effective May 1, 2022

All user guides are published to Texas Medicaid & Healthcare Partnership’s (TMHP’s) Learning Management System (LMS). All users must create an LMS account to access the materials. 

There is a sign-up link on the LMS homepage. If you need assistance with registration, contact TMHP Training Support.

The following sections provide information related to Form 8578, Intellectual Disability/Related Condition Assessment.

Level of Care (LOC)

The LOC determines the individual's programmatic eligibility for the Home and Community-based Services (HCS) Program. Individuals enrolling into HCS must have an LOC I, or if the individual is transitioning or diverting from a nursing facility, may have an LOC VIII. 

Level of Need (LON)

An individual's LON is used to determine the reimbursement rate a program provider receives for certain HCS program services. The LON is obtained by completing and scoring an Inventory for Client and Agency Planning (ICAP) assessment for each individual.

A brief overview of the ICAP is provided in this document but is not intended to be comprehensive.