Determination of Need
The department reviews the application to determine if there is a need for an additional provider in the proposed geographic location. The reviewers consider:
- the probability of serious, adverse consequences to recipients’ ability to access services if the provider is not allowed to be licensed.
- the number of other providers in the same geographic location and parish servicing the same population
- allegations involving issues of access to health care and services
- population-based need methodologies varying by type of service
Facility Need Review is a process that specific provider types must complete prior to applying for initial licensure in the state of Louisiana. The review determines whether there is a need for additional beds and/or providers to be licensed and/or enrolled to participate in Medicaid. Provider types listed below must receive FNR approval before submitting an application for initial licensure:
- Home and Community Based Service Providers (HCBS)
- Personal Care Attendant (PCA)
- Supervised Independent Living (SIL)
- Respite Care
- Monitored In-Home Caregiving (MIHC)
- Hospice
- Pediatric Day Health Care
*current moratorium on ARCP Level 4, ICF/DD and NH
