Louisiana Calocus Score Sheet Please check the applicable ratings within each dimension and record the score in the lower right hand corner Total your score and determine the recommended level of care using either the Placement Grid or the Decision Tree 1 Low Risk of Harm 2 Some Risk of Harm 3 Significant Risk of Harm 4 Serious Risk of Harm 5
CALOCUS Score Sheet PDF Any additional clinical information the provider deems necessary to support request which may include the assessment and Treatment plan Healthy Louisiana Member Choice Form PDF A CALOCUS LOCUS rating must be completed and submitted for all members prior to receiving CPST and or PSR as part of the initial comprehensive assessment and every 180 days thereafter until discharge
Louisiana Calocus Score Sheet
Louisiana Calocus Score Sheet
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CALOCUS LOCUS ratings on a form that includes the rating in each dimension the criteria to support the rating independent criteria the composite score the level of care a section to document notes a signature line with credentials and a rating date The final section describes the scoring methodology that facilitates the translation of assessment results into placement or level of care recommendations Both a grid chart and a decision flow chart are provided for this purpose We hope that this version of CALOCUS will continue to stimulate considerable comment
Each category contains items that assess a child or adolescent s risk of harming him herself and of harming others CALOCUS score sheet must be submitted by using the Healthy Louisiana Mental Health Rehabilitation and Evidence Based Practices Request Form Authorizations for ECT ACT Crisis Intervention Stabilization and TGH may be requested via email at LA Beh auths uhc or by faxing the forms to 1 855 202 7023 For SUD IOP authorizations call 1 866 675
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Circle the scores that best describe client s current circumstances and clinical presentation Then choose the highest score in which at least one answer is circled Place that score in the box for the dimension on the right of the page Add all scores for the composite score Members using the CALOCUS LOCUS must complete training prior to conducting their first rating The Louisiana Department of Health will issue an Informational Bulletin with additional detail prior to March 1 2018
Independent Criteria refers to a specific score on the first three Dimensions of CALOCUS The specific score may result in specific level of care recommendations regardless of composite score total WHO CAN IMPLEMENT THE CALOCUS Displaying CALOCUS Instrument Twenty Watermarked as of 2019 07 15 1 pdf
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Please check the applicable ratings within each dimension and record the score in the lower right hand corner Total your score and determine the recommended level of care using either the Placement Grid or the Decision Tree 1 Low Risk of Harm 2 Some Risk of Harm 3 Significant Risk of Harm 4 Serious Risk of Harm 5
https://www.louisianahealthconnect.com/providers/resources/forms...
CALOCUS Score Sheet PDF Any additional clinical information the provider deems necessary to support request which may include the assessment and Treatment plan Healthy Louisiana Member Choice Form PDF
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Louisiana Calocus Score Sheet - The need for the Child and Adolescent Level of Care Utilization System CALOCUS stems from two trends in child and adolescent mental health 1 The advent of managed care throughout
