Adult Day Health Care

Initial Licensure

The Department of Health shall not process any application until all completed forms, required applicable accompanying information, and the application fee (where required) are received.

All applicable fees must be submitted by way of company check, cashier's check, or money order payable to the Louisiana Department of Health. Application fees are non-refundable.

If the initial licensing packet is incomplete, the applicant will be notified of the missing information and will have 90 days to submit the additional requested information. If the additional request is not submitted to the Department within 90 days, the application will be closed. After an initial licensing application is closed, an applicant who is still interested in becoming an ADHC provider shall submit a new initial licensing packet with a new initial licensing fee to start the initial licensing process.

Step 1

Obtain Healthcare Licensing Plan Review approval from the Office of State Fire Marshal

Phone: 225-925-4920

Fax: 225-925-4414

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Step 2

Please submit the following requested information with your application.

1. ADHC Licensing Application form
2. Application fee of $600
3. Payment Transmittal Form
4. Letter of Intent (include the ADHC name; address, and if new construction, the construction completion date)
5. Form HSS-1513L (Disclosure of Ownership)
6. Copy of Healthcare Licensing Plan Review Approval Letter
7. Copy of approved floor plan diagram with green stamp approval from the Office of State Fire Marshal
8. A copy of criminal background checks for all owners of the facility | Approved background check agencies
9. Proof of financial viability to include: a line of credit issued from a federally insured, licensed lending institution for at least $50,000
10. Proof of professional liability insurance of at least $300,000
11. Proof of general liability insurance of at least $300,000
12. CLIA (Lab Memo and Application Packet) (Level 4 ARCP)
13. On-site inspection approvals (Offices of Public Health and State Fire Marshal)
    1. Office of Public Health Inspection Report - To request a recommendation for licensure for Sanitarian Services, call 225-342-8954
    2. Office of State Fire Marshal Inspection Report - To request an inspection, notify the District Fire Marshal's Office in your area:
       Baton Rouge District Office: 225-925-4914
       Lafayette District Office: 337-886-1273
       New Orleans District Office: 504-219-4600
       Shreveport District Office: 318-676-7145
       Monroe District Office: 318-362-4696
    3. OPH Plan Review Questionnaire
14. 8x11 floor sketch or drawing of the premises
15. Copy of the Articles of Incorporation
16. PACE providers ONLY: Effective March 1, 2018, all initial license applications shall include a completed Emergency Preparedness Attestation form. 
17. Other Licenses: Approval from any pertinent local agencies as required in your area (zoning, occupation license, local fire ordinance, etc.)

Step 3

The Health Standards Section will conduct an initial licensing survey to verify compliance with the minimum licensing regulations before issuing the ADHC license.

IMPORTANT:

1. Payments (payable to LDH or LDH Licensing) and Payment Transmittal form must be submitted to the Chase Bank P.O. box below:

LDH Licensing Fee
P.O. Box 734350
Dallas, TX 75373-4350

2. Documentation, such as the application form, Disclosure of Ownership, and OPH reports must be sent to the Health Standards Section at:

Health Standards Section
P.O. Box 3767
Baton Rouge, LA 70821-3767

License Renewal

The following is required to complete the Adult Day Health Care renewal process:

1. Adult Day Health Care Provider Renewal Application
2. HSS Payment Transmittal Form
3. Application license fee
4. $600 license renewal fee
5. Proof of continuous financial viability without interruption, including the maintenance of a line of credit issued from a federally insured, licensed lending institution for at least $50,000;
6. Current State Fire Marshal report; facilities located in New Orleans must also submit the city Fire Marshal report
7. Current Office of Public Health inspection report
8. For PACE ADHC providers only:
   1. Proof of PACE program agreement, if accredited
   2. Licensing Application Addendum for PACE; effective April 1, 2018, all license renewal applications shall include a completed emergency preparedness attestation form
9. HSS Payment Procedure website

IMPORTANT:

 1. Payments & Payment Transmittal form must be submitted to Chase Bank P.O. Box Below:

LDH Licensing Payments
P.O Box 734350
Dallas, TX 75373-4350

2. Documentation, such as the application form, Disclosure of Ownership, and OPH reports, must be sent to the Health Standards Section at:  

Health Standards Section
P.O. Box 3767
Baton Rouge, LA 70821-3767

Change of Ownership Information

Providers must complete this document when they have a change in their ownership structure. This document would be used for both a change of ownership (CHOW) as defined by state and/or federal regulations, or a change of ownership information (CHOI) that does not meet the state and/or federal regulations CHOW definition.

 For Health Standards to make a CHOW/CHOI determination, all providers must submit the following documents:

1. Letter of Intent (including d/b/a and entity name of the previous and the new owner, the effective date of transfer of ownership, address, and phone number)
2. A diagram showing the ownership structure before and after the change
3. Copy of the executed bill of sale
4. CHOW/CHOI license application
5. 855A/B approval letter for the following providers: Home health, hospice, hospitals, RHCs, ASCs, ESRDs, portable x-ray, community mental health, and OPT

Note: If this action is a CHOI, the documents above are the only documents you need to submit; however, the Department may, at its discretion, request additional documentation in support of the CHOI. If so, you will be contacted for any of the said additional documents. There is no fee for a CHOI. 

If this action is a CHOW, the following documents are also needed:

1. Does your facility have a CLIA Certificate? If yes, contact the CLIA program.
2. Licensing fee

The fee for a CHOW is usually the same as a license renewal unless the facility is making additional changes. For the providers completing an acquisition/merger, please contact the program desk for assistance.

Additional documents required:

1. License Application Emergency Preparedness Addendum form (PACE providers only)
2. Criminal background checks (new owners) completed by a Louisiana State Police authorized agency
3. Articles of incorporation
4. Line of credit of at least $50,000
5. General and professional liability insurance of at least $300,000

For all other change of ownership information, please contact the HSS Ownership Group.

Emergency Preparedness

Re-Entry Process for Reoccupying and Reopening Following Emergency Events

• LDH-HSS Memo-Reoccupy Requirements updated 08/02/2024
  • HSS EP Form
  • OSFM Memo-Healthcare Facilities Evacuated during a Hurricane or State Declared Emergency
  • OPH-Health Care Facility Reoccupation Tool