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), Adult Day Health Care facilities and Adult Residential Care units, and Behavioral Heath 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.

Facility Need Review (FNR) Requirements/ Regulations:LAC 48:1 Chapter 125 Facility Need Review February 2018

Provider types listed below must apply for and receive FNR approval before submitting an application for initial licensure to Health Standards Section:

  1. ADHC- Adult Day Health Care
  2. *ARCP- Adult Residential Care Provider
  3. *ICF/DD - Intermediate Care Facilities/Developmentally Delayed
  4. *Nursing Facilities
  5. HCBS- Home and Community Based Services
    • HCBS FNR Application for HCBS that provide any of the following service modules:
                  a. PCA - Personal Care Attendant
                  b. SIL - Supervised Independent Living
                  c. Respite Care
                  d. MIHC - Monitored In-Home Caregiving
  6.  Hospice
  7. PDHC- Pediatric Day Health Care
  8. BHSP- Behavioral Health Service Providers
    • BHSP FNR Application

      Please note the effective date of February 20, 2018, all new applicants and those with incomplete applications will be subject to the FNRs process. Please contact (225.342.5457) if you have any questions regarding the FNR process.


(*ARCP Level 4, ICF/DD, and NH are currently under a moratorium)

Fees and Application Information

Facility Need Review application and documentation should be sent to a different address than Facility Need Review payment. Failure to do so will delay processing of your application packet.

  • Applications and other application-related documentation for Facility Need Review are mailed to
    • Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821.
  • Application fees (check or money order) are mailed to a different address:
    • The check or money order must be accompanied by a payment transmittal form that is found on the HSS Payment Procedure website
    • DHH Licensing Fee, P.O. Box 62949, New Orleans, LA 70162-2949.
    • As of June 20, 2017, providers wanting to send express mail must do so by using either US Postal Services Priority Mail® or Priority Mail Express®.
  • $200 non-refundable application fee
  • Adult Residential: $10.00 per Unit requested.

Contact Information

(225) 342-5457
(225) 342-0157