Facility Need Review (FNR)

1. Read the Facility Need Review Rule (LAC 48:1 Chapter 125) to understand the process and documentation needed for Facility Need Review.
2. Compile your FNR supporting documentation and have it readily available to attach in the FNR online payment portal. 

Please include all applicable documents:

• Letter of Intent (including d/b/a (doing business as) and entity name of the previous and the new owner, the effective date of change of ownership, address and phone number).
• Letter relinquishing all FNR rights of the current owner
• A diagram showing the ownership structure “before” and “after” the change
• Copy of the executed legal transaction documents (Bill of Sale, lease, etc.)
• Change of Ownership Application
• 855A/B approval letter for the following Medicare Certified providers: Home Health, hospice, hospitals, RHCs, ASCs, ESRDs, portable x-ray, community mental health, CORF, Nursing Facilities, and OPT.

Do not attach the FNR initial application or the program's license application packet.

NOTE: The $200 fee is non-refundable.
Confirmation emails are sent once the FNR payment and FNR documentation are received by the LDH Health Standards Section.

• Read the Facility Need Review Rule (LAC 48:1 Chapter 125) to understand the process and documentation needed for Facility Need Review. 
• FNR Fee:
  The $200 fee is non-refundable. Attach the HSS Payment Transmittal Form (click here) to your check or money order. 
  Make payment out to: Louisiana Department of Health (LDH). 
  Mail payment to: LDH Licensing Fee, P.O. Box 734350, Dallas, TX 75373-4350.
  (FNR Applicants who prefer to send express mail must do so by using either US Postal Services Priority Mail® or Priority Mail Express®.)
• FNR Supporting Documentation:
  Refer to the Facility Need Review Rule (step 1) to determine the documentation to submit with the FNR application. Failure to submit FNR payment and/or complete application packet (application and documentation) to its appropriate mailing address could delay processing. Any FNR application submitted without supporting documentation will not be processed until the supporting documentation is received by FNR. This could increase your timeframe to be considered for review. Do not submit the program's license application with your FNR.
• FNR Application & Documentation Delivery:
  Submit your FNR application and supporting documentation to:     
  Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821 OR      
  Email your information to HSSFNRProgram@la.gov
  
• FNR Application:
  Complete and submit the appropriate FNR application:
  Behavioral Health Service Provider FNR Application for BHSP, adding at least one of the following services:
       Community Psychiatric Support and Treatment (CPST)
       Psychosocial Rehabilitation
       Residential Substance Abuse Treatment (RSAT)
  Home and Community-Based Service Provider FNR Application for HCBS that provides any of the following service modules:
       Personal Care Attendant (PCA)
       Respite
       Supervised Independent Living, including Shared Living Conversion services (SIL)
       Monoitored In-Home Care (MIHC)
  Hospice FNR Application
  PDHC FNR Application
  *ICF/DD - Intermediate Care Facilities/Developmentally Delayed- currently under moratorium
  *Nursing Facilities- currently under moratorium  

Submit the following:

• a signed attestation/letter of the change of location with:
  • the license number
  • state ID
  • old address and
  • new address.

Email the signed attestation to HSSFNRProgram@la.gov or mail it to:
LDH - Health Standards Section
P.O. Box 3767
Baton Rouge, LA 70821

Submit the following:

• a new FNR application
• documentation
• appropriate fee

Undergo the FNR initial approval process