Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

Statewide Initiatives

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Rural Health Clinic - Initial Licensure

The following forms and fees must be submitted to Health Standards Section:

Initial License Application Instructions

  1. Initial Application and non-refundable fee
  2. Copy of approval letter of architectural facility plans from the Office of the State Fire Marshal (OSFM)
  3. Copy of on-site inspection report with approval for occupancy by the Office of the State Fire Marshal
  4. Copy of health inspection report with approval for occupancy from the Office of Public Health (OPH)
  5. Copy of statewide criminal background checks on all individual owners with 5% or more owner interest in the RHC entity, and on all members of RHC's board of directors, if applicable, and administrators;
  6. Proof of financial viability, comprised of the following;
    a.  line of credit issued from a federally insured, licensed lending institution in the amount of at least $100,000
    b.  maintain at least $500,000 general liability insurance
    c.  maintain at least $500,000 professional liability insurance; and
    d.  worker's compensation insurance
  7. Floor sketch or drawing of the premises to be licensed
  8. Inital CLIA Application