Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

Statewide Initiatives

211 - Get Connected. Get Answers.

Hospice - Add a Branch

If you are interested in adding a branch please:

1. complete the Branch application form
2. submit non-refundable $300.00 fee (per branch)
3. Complete the CMS 855A form & submit to Fiscal Intermediary (FI)