A. The HCBS
provider shall submit a completed license renewal application packet to the
department at least 30 days prior to the expiration of the current license. The
license renewal application packet shall include:
1. the license renewal application;
2. the days and hours of operation;
3. a current State Fire Marshal report for
the adult day care module and the center-based respite module;
4. a current Office of Public Health
inspection report for the adult day care module and the center-based respite
module;
5. the non-refundable
license renewal fee;
6. any other
documentation required by the department; and
7. proof of financial viability, comprised of
the following:
a. a line of credit issued
from a federally insured, licensed lending institution in the amount of at
least $50,000 that is current at the time of the application for license
renewal and is issued to/in the name of the applicant at the geographic
location shown on the application for license renewal;
b. general and professional liability
insurance of at least $300,000 that is current and in effect at the time of
application for license renewal and has been maintained and in effect
throughout the term of the license; and
c. workers compensation insurance that is
current and in effect at the time of application for license renewal and has
been maintained and in effect throughout the term of the license.
NOTE: The LDH Health Standards Section shall specifically
be identified as the certificate holder on these policies pursuant to
§5015. A.7 a-c and any
certificates of insurance issued as proof of insurance by the insurer or
producer (agent). The policy shall have a cancellation/change statement
requiring notification of the certificate holder 30 days prior to any
cancellation or change of coverage.
B. The department may perform an on-site
survey and inspection upon annual renewal of a license.
C. Failure to submit a completed license
renewal application packet prior to the expiration of the current license shall
result in the voluntary non-renewal of the HCBS license.
Notes
La. Admin.
Code tit. 48, §
I-5015
Promulgated by the
Department of Health and Hospitals, Bureau of Health Services Financing, LR
38:68 (January 2012), Amended by the Department of Health, Bureau of Health
Services Financing,
LR
432502 (12/1/2017).
AUTHORITY NOTE: Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2120.1.
NOTE: Upon expiration of the current license, the HCBS
provider shall cease providing services in accordance with
R.S.
40:2120.6 and shall meet the requirements of
§5026 Cessation of
Business.
