Transition Coordinator
Community
LCP Forms
LCP1 Participant Consents and Rights
LCP2 Voluntary Withdrawal Form
LCP5 Release Of Information
LCP 6 Nursing Assessment/Monitoring Form
LCP6a1b Request for Nutritional Supplement
LCP6d1 Environmental Modification (EM) Decision Tool
LCP6d2 Level of Functional/Environment Assessment
LCP6d3 Environmental Modification Permission And Verification
LCP6e Community Plan
LCP6e1 Nursing Facility Transition - Community Plan Addendum
LCP6e2 Request for Grab Bar(s)
LCP6e3 Personal Emergency Response System Request
LCP6f Community Plan Authorization Request Checklist
LCP9 Provider Communication
LCP10 Participant Change of Provider
LCP15 Discharge Evaluation
LCP21 Eligibility/Claim Resolution
LCP22 Critical Incident Report: Evaluation
LCP23 Transition Assessment Tool
LCP24 Nursing Facility Transition Planning Tool
LCP25 Community Back Up Plan
LCP26 Critical Incident Report: Investigation
LCP27 Risk Analysis And Planning Tool
LCP29i Quality Of Life Notification Form
LCP30 Transition Funds Request Form
Geriatric Depression Scale
LD-1 Oklahoma Health Care Authority Member Complain/Grievance Form
LCP Rate Sheet
Request For A Fair Hearing
Oklahoma Health Care Authority Care Management Referral Form
Pharmacy Review Data
LCP Community Home
Forms
Useful Transition Tools
Technical Assistance
Useful Links
Provider List