Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

Home and Community Based Providers (HCBS)

Effective July 1, 2011 the Department of Health and Hospitals, Bureau of Health Services Financing adopted provisions to establish comprehensive minimum licensing standards for HCBS providers and a single HCBS license. Providers of the following services, or modules, shall be licensed under the HCBS license:

1. Adult Day Care (ADC)
2. Family Support
3. Personal Care Attendant (PCA)*
4. Respite Care*
5. Substitute Family Care (SFC)
6. Supervised Independent Living, including Shared Living Conversion services*
7. Supported Employment  

Note:
An Adult Day Care Center is a program that acts primarily as training to help individuals with intellectual disabilities to reach their highest practicable functional level. Adult Day Care is designed to meet the individual needs of functionally impaired adults. This is a structured and comprehensive group program which provides a variety of health, social, and related support services in a protective setting for a portion of the 24-hour day. This program differs from an Adult Day Health Care Program which is a medical model, designed to provide services for medical, nursing, social, and personal care needs to adults who have physical, mental or functional impairments. Such services are rendered by utilizing licensed professionals in a community based nursing center.

A person, or provider, who desires licensure to provide one or more of the above services must first read & understand information in the regulations. Modules that have an asterisk (*) require approval from the Facility Need Review committee before the provider can apply for a license from Health Standards Section.

Persons who desire to open a Home and Community Based Service must attend a state sponsored training class BEFORE a licensing survey will be scheduled. A licensing survey is one of the requirements for initial licensure. 

 Licensure

• Regulations -
               La. Register, Vol 37, No 06, June 20, 2011 (33 pages)
  • HCBS Supervision of Direct Service Workers Requirement
  • La. Register, Vol 38, No 01, January 20, 2012
  • RS 40:2120.4 -Rules & regulations; licensing standards
  • RS 40:2120.5 - License issuance; application; onsite inspection
• Fees
  • HCBS Service Module and Branch/Satellite Diagram
• Initial Licensure
• License Renewal
• Key Personnel Change, Change of Address
• Change of Ownership
• Add Service Module
• Delete Service Module
• Add Branch or Satellite
• DHH Administrative Regions Map
• Branch/Satellite Denial
• Deemed Status Request

Links

• Complaints
• Facility Need Review