Health Standards Section Rulemaking

This webpage contains administrative rulemaking documents promulgated by the Louisiana Department of Health (LDH), Health Standards Section (HSS) and published in the Louisiana Register by the Division of Administration (DOA), Office of State Register.  Title 48 of the Louisiana Administrative Code (LAC) contains the Rules governing the licensing and/or certification of healthcare facilities/programs. All Rules promulgated by the LDH/HSS can be found on the DOA, Office of State Register’s website. Pursuant to R.S. 49:950 et seq., LDH, HSS gives public notice that the agency intends to take a particular action, adopt policy, or establish regulations through the administrative rulemaking process. 

Announcements

• Prior to November 10, 2023, all HSS rulemaking activity was published on the Bureau of Health Services Financing (Medicaid) rulemaking webpage. To access postings prior to November 10, 2023, please click here.
• Targeted Case Management LAC 50:XV.Chapters 101-117 - September 11, 2023
  • Amends the provisions governing targeted case management (TCM) under the New Opportunities Waiver, early and periodic screening, diagnosis and treatment, and the EarlySteps Program in order to clarify language and ensure the requirements for TCM services are accurately reflected throughout the administrative Rule.

Act 401 of 2014 requires state government agency websites to publish information and reports when the agency is in the process of adopting, amending, or repealing a rule or fee.  The notices accessible within these pages, as required by Act 401 0f 2014, are not certified as the official copies published in the Louisiana Register and the Louisiana Administrative Code as they may be subsequently revised by the Office of the State Register pursuant to La. R.S. 49:983 prior to publishing.  Access to official copies of rulemaking notices are available from the Office of the State Register. 

Health Standards Rulemaking Categories:

• Emergency Rules
• Final Rules
• Notices of Intent
• Oversight Reports
• Potpourri
• Redeclared Emergency Rules

Access to each offices’ ongoing rulemaking and fee reporting are linked below:

• Bureau of Health Services Financing
  • Medicaid
• Office for Citizens with Developmental Disabilities
• Office of Aging and Adult Services
• Office of Behavioral Health
• Office of Public Health
  • Bureau of Engineering Services

Regulations

April 17, 2025

• Case Management Licensing Standards – LAC 48:I.Chapter 49
  • Baton Rouge, Louisiana - April 17, 2025 - The department proposes to amend the provisions governing the licensing of case management in order to: (1) modify qualifications for case managers and supervisors, (2) adjust the timeframe in which providers must respond to the department’s written report of licensing inspection findings, (3) change how often a case manager must conduct visits with the consumer/guardian as part of the linkage and monitoring/follow-up process, and (4) require the development of policy and procedure for preventing, responding to, reporting, and mitigating instances of healthcare workplace violence. Amends the provisions governing targeted case management (TCM) under the New Opportunities Waiver, early and periodic screening, diagnosis and treatment, and the EarlySteps Program in order to clarify language and ensure the requirements for TCM services are accurately reflected throughout the administrative Rule.
  • Notice of Intent: CM_NOI_25.04
• Hospitals Licensing Standards – LAC 48.I.Chapter 93-95
  • Baton Rouge, Louisiana – April 17, 2025 - The department proposes to amend the provisions governing the licensing of hospitals in order to comply with the requirements of the following Acts of the 2024 Regular Session of the Louisiana Legislature: Act 122 that requires hospital providers to, prior to discharge following birth, provide the mother and her family members information about post-birth warning signs, including symptoms and available resources; Act 398 relative to the installation and use of newborn safety devices as infant relinquish sites; Act 588 relative to the location of psychiatric facilities; Act 666 that allows for patient designation of an essential caregiver; and Act 737 that provides for discharge procedures and educational documents. In compliance with Acts 122, 398, 588, and 737, the department hereby proposes to amend the provisions governing the licensing of hospitals in order add the definition of forensic psychiatric hospital, to adjust requirements for the minimum contents of patient medical records, to add requirements for certain resuscitation equipment and supplies when a newborn safety device is located inside a hospital, and to update client discharge processes. Also, in compliance with Act 666, the department proposes to adopt provisions for the designation of an essential caregiver and circumstances for visitation
  • Notice of Intent: Hospitals_NOI_25.04
• April 2025 Final Rules
  • Baton Rouge, Louisiana – April 17, 2025 
  • BHSPs_Rule_25.04
  • BHSPs 5603, 5617, and 5637_Rule_25.04