The Department of Health Care Finance (DHCF) is changing its procedures for approving a nursing facility level of care. The Centers for Medicare and Medicaid Services (CMS) requires State Medicaid Agencies to certify that a person meets a nursing facility level of care to reimburse Medicaid-funded nursing facilities and long term care services requiring a nursing facility level of care, such as the Elderly and Persons with Physical Disabilities (EPD) Waiver Program.