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Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

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Statewide Initiatives



211 - Get Connected. Get Answers.

The initial licensing application packet shall include:

 

  1.  a completed HCBS licensure application and the non-refundable licensing fee as established by statute;
  2.  a copy of the approval letter of the architectural facility plans for the adult day care module and the center-based respite module from the Office of the State Fire Marshal and any other office/entity designated by the department to review and approve the facility’s architectural plans;
  3. a copy of the on-site inspection report with approval for occupancy by the Office of the State Fire Marshal, if applicable;
  4. a copy of the health inspection report with approval of occupancy from the Office of Public Health for the adult day care module and the center-based respite module;
  5.  a copy of a statewide criminal background check, including sex offender registry status, on all owners and administrators;
  6. proof of financial viability, to include verification and maintenance of:
    • a line of credit issued from a federally insured, licensed lending institution in the amount of at least $50,000;
      * for the purposes of an HCBS License, personal loans or bank balances of $50,000 or more do not meet this requirement.  No waiver of this requirement will be granted.
    • general and professional liability insurance of at least $300,000; and
    •  worker’s compensation insurance;
  7. a completed disclosure of ownership and control information form;
  8. the days and hours of operation;
  9.  an organizational chart and names, including position titles, of key administrative personnel and governing body; and
  10. any other documentation or information required by the department for licensure.

Please refer to the HCBS Providers Minimum Licensing Standards published in the Louisiana Register, Vol 38, No 01, January 20, 2012 for licensing requirements, service module definitions, general provisions, operational requirements and branch/satellite requirements. A link to the licensing regulations and HCBS program desk contacts are located on the HCBS home page.

Home and Community Based Provider (HCBS) Initial Licensing