Facility Need Review

Facility Need Review (FNR) is a process that specific provider types must complete prior to applying for initial licensure in the state of Louisiana.

Facility Need Review (FNR) - a review conducted for nursing facility beds (including skilled beds, IC-I and IC-II beds), intermediate care facility for the developmentally disabled beds, Home and Community Based Services (Supervised Independent Living, Personal Care Attendant Services and Respite), Adult Day Health Care facilities and Adult Residential Care units to determine whether there is a need for additional beds and/or providers to be licensed and/or to be enrolled to participate in the Medicaid Program.

Please note:

Applications and other application related documentation for Facility Need Review are mailed to Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821.

Application fees (check or money order) are mailed to a different address. The check or money order must be accompanied by an HSS Payment Transmittal Form on the HSS Payment Procedure website.  Failure to do so will delay processing of your application.
See "Fees" section below.

FNR Requirements

Provider types listed below must apply for and receive FNR approval before submitting an application for initial licensure to Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821:

  1. ADHC - Adult Day Health Care
  2. *ARCP - Adult Residential Care Provider
  3. *ICF/DD - Intermediate Care Facilities/Developmentally Delayed
  4. *NH - Nursing Home
  5. HCBS - Home and Community Based Service Providers that provide any one of the following service modules:
                a. PCA - Personal Care Attendant
                b. SIL - Supervised Independent Living
                c. Respite Care
                d. MIHC - Monitored In-Home Caregiving
  6. Hospice
  7. Pediatric Day Health Care
    * ARCP Level 4, ICF/DD, and NH are currenlty under a moratorium


The FNR application fee and a Payment Transmittal Form from the HSS Payment Procedure website must be mailed to :
DHH Licensing Fee
P.O. Box 62949
New Orleans, LA 70162-2949

As of June 20, 2017, providers wanting to send express mail must do so by using either US Postal Services Priority Mail® or Priority Mail Express®.

  • $200 non-refundable application fee
  • Adult Residential: $10.00 per Unit requested.


Louisiana Administrative Code - August 2012  - Final rule for all programs



Contact Information

James H. Taylor, III, Facility Need Review Program Manager
(225) 342-5457
(225) 342-0157