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) and Behavioral Health Service providers (CPST and/or PSR) 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.
Effective, July 6, 1990, Pursuant to La. RS 40:2116, the Louisiana Department of Health, in accordance with the Administrative Procedure Act, has established a facility need review process consistent with the regulations for licensure for facilities and for Title XIX of the Social Security Act. The Louisiana Department of Health does not issue nor have a requirement for certificate of need (CON) for licensed health care entities.
The department will conduct an FNR for the following provider types to determine if there is a need to license additional units, providers or facilities:
- Home and Community-Based Service Providers (HCBS)*:
- personal care attendant (PCA) services
- supervised independent living (SIL) services
- monitored in-home caregiving (MIHC) services
- respite providers
*Certain services or modules of a home- and community-based service provider may be excluded from the facility need review process at the discretion of the secretary of the Louisiana Department of Health
- Hospice providers or Inpatient Hospice facilities
- Pediatric Day Health Care facilities (PDHC)
- Behavioral Health Services (BHS) providers that provide the following:
- Psychosocial rehabilitation (PSR) and/or
- Community psychiatric support and treatment (CPST) services
- Opioid treatment programs licensed under a behavioral health services provider license;
- Intermediate Care Facilities for people with developmental disabilities (ICF-IID)
The Facility Need Review Rule discloses information regarding:
- Additional Beds for Replacement Facility
- Alternate use of Licensed Approved Title XIX Beds
- Nursing Facilities- under moratorium
- Intermediate Care Facilities for the Developmentally Disabled- under moratorium
- Conversion of Medicaid Approved Nursing Facility Beds to Adult Residential Care Provider Units
- Relocation of Nursing Facility Beds
- Revocation of Facility Need Review Approvals
- Nursing Facility Bed Abeyance
- Exception Criteria for Bed Approvals
- Administrative Appeals
Facility Need Review Information:
- Facility Need Review Rule (LAC 48:I Chapter 125): click here
- Final Rule FNR §12533 Exception Criteria for Bed Approvals – October 2023 edition of the Louisiana Register : click here
- Notice of Intent FNR – October 2023 edition of the Louisiana Register : click here
- 2022 Legislative Session: Senate Bill 30 / Act 531
- Relocation of Nursing Facility Beds (LAC 48:I. Chapter 125, Subchapter D, §12529), Louisiana Register September 20, 2021 – Final Rule: click here
How to Apply for Facility Need Review:
- To apply for a Facility Need Review (initial application or Change of Ownership only) via online process, click here
- To apply for a Facility Need Review by electronic mail (e-mail) or via postal service, click here
- To apply for Facility Need Review change of location only, click here
- To view LDH Service areas (please enter the region number as the service area on your application), click here
Checking the Status of your FNR Application
Facility Need Review Reports (LTC-1, LTC-2, MR-1, MR-2)
Program Contact Information
Genella Carter - Program Manager
Tammy Walton - Administrative Coordinator
Phone: 225-342-0132
FNR Email: HSSFNRProgram@la.gov