Louisiana Locus Score Sheet

Louisiana Locus Score Sheet Locus score sheet dimensions current criteria i risk of harm ii functional status iii medical addictive psychiatric co morbidity iv a recovery environment stress iv b recovery environment support v resiliency and treatment vi engagement composite score level of care recommended lmhp signature date lmhp printed name title ia cbcm locus score sheet

Significant current suicidal or homicidal ideation without intent or conscious plan and without past history No active suicidal homicidal ideation but extreme distress and or a history of suicidal homicidal behavior exists 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

Louisiana Locus Score Sheet

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Louisiana Locus Score Sheet
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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 Be aware of the Independent Criteria when scoring and refer to the Independent Criteria Table for LOCUS What is Independent Criteria The specific score may result in specific level of care recommendations regardless of composite score total WHO CAN IMPLEMENT THE LOCUS

LOCUS Level of Care Determination Grid Level of Care Dimensions Recovery Maintenance Health Management Low Intensity Community Based Services High Intensity Community Based Services Medically Monitored Non residential Services Medically Monitored Residential Services Medically Managed Residential Services I Risk of Harm 2 or less 2 or less 3 or less 3 or Medical co morbidity for scoring purposes Clinicians must be alert to the under recognition of co morbidity in children from lower socioeconomic backgrounds and culturally distinct backgrounds It is crucial to include a broad range of developmental problems into the domain of developmental disabilities This category includes not only

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LOCUS WORKSHEET VERSION 20 Date Please check the applicable ratings within each dimension and record the score m the lower right hand corner Total your score and determme the recommended level of care using the Declslon Tree Criteria Score Criteria Score I Risk of Harm Criteria Score Criteria Score Criteria Score Cntena Score Significant current suicidal or homicidal ideation without intent or conscious plan and without past history No active suicidal homicidal ideation but extreme distress and or a history of suicidal homicidal behavior exists

Once scores have been assigned in all six evaluation parameters they should be recorded on a worksheet and summed to obtain the composite score Referring to the LOCUS Placement Grid a rough estimate of the placement recommendation can be obtained For greatest accuracy the LOCUS Score Sheet Treatment plan Provider may use their own version or the sample provided on the LHCC website NOTE Provider must submit the treatment plan within 30 days following the completion of the initial assessment or annual reassessment

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Perceived Life Stress Score External Locus Score And Behavioral
LOCUS SCORE SHEET Louisiana Department Of Health

https://ldh.la.gov/.../BayouHealth/BHIntegration/locus_sc…
Locus score sheet dimensions current criteria i risk of harm ii functional status iii medical addictive psychiatric co morbidity iv a recovery environment stress iv b recovery environment support v resiliency and treatment vi engagement composite score level of care recommended lmhp signature date lmhp printed name title ia cbcm locus score sheet

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LOCUS Scoring Sheet Aetna Better Health

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Significant current suicidal or homicidal ideation without intent or conscious plan and without past history No active suicidal homicidal ideation but extreme distress and or a history of suicidal homicidal behavior exists


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Louisiana Locus Score Sheet - 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