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 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.

Please click here to review the Facility Need Review Rule (LAC 48:1 Chapter 125 Facility Need Review 2018) for general information; application and review process; documentation to submit; change of ownership; change of location; and determination of need/approval. 

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
    • HCBS website
  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 FNR process.
    • BHSP website

Please contact Dasiny Davis at 225.342.0454 or if you have any questions regarding the FNR process.

(ICF/DD, and NH are currently under a moratorium)

FNR Application and Fee Information

Facility Need Review application and documentation are mailed 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 (please read the Facility Need Review Rule  (LAC 48:1 Chapter 125)) for Facility Need Review are mailed to
    • Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821.
  • Facility Need Review Application fee (check or money order) and HSS Payment Transmittal Form:
    • The $200 fee is non-refundable.
    • Pay to the order of: LDH
    • The check or money order must be accompanied by HSS Payment Transmittal form that is found on the HSS Payment Procedure website
    • Payment should be mailed to: LDH 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®.

Contact Information