Current through Register Vol. 50, No. 9, September 20, 2024
A. A BHS provider shall report in writing to
HSS within five days of any change of the following:
1. BHS providers entity name;
2. business name;
3. mailing address;
4. telephone number; or
5. email address of the
administrator.
B. Any
change to the BHS providers name or doing business as name requires the
nonrefundable fee for the issuance of an amended license with the new
name.
C. A BHS provider shall
report in writing to the HSS any change in the providers key administrative
personnel within five days of the change.
1.
Key administrative personnel include the following:
a. administrator;
b. medical director;
c. clinical director; and
d. clinical supervisor.
2. The BHS providers written notice to HSS
shall include the individuals:
a.
name;
b. hire date; and
c. qualifications.
D. Change of Ownerships
1. A BHS provider shall report a change of
ownership (CHOW) in writing to HSS within five days following the change. The
new owner shall submit the following:
a. the
legal CHOW document;
b. all
documents required for a new license; and
c. the applicable nonrefundable licensing
fee.
2. A BHS provider
that is under license revocation, provisional licensure or denial of license
renewal may not undergo a CHOW.
3.
If there are any outstanding fees, fines or monies owed to the department by
the existing licensed entity, the CHOW will be suspended until payment of all
outstanding amounts.
4. Once all
application requirements are completed and approved by the department, a new
license may be issued to the new owner.
E. Change in Geographic Location
1. A BHS provider that seeks to change its
geographic location shall submit:
a. written
notice to HSS of its intent to relocate;
b. a plan review request, if
applicable;
c. a new license
application;
d. the nonrefundable
license fee; and
e. other
applicable licensing requirements.
2. In order to receive approval for the
change of geographic location, the BHS provider shall have:
a. plan review approval, if
required;
b. approval from the OSFM
and the OPH recommendation for licensure of the new geographic
location;
c. an approved license
application packet;
d. compliance
with other applicable licensing requirements; and
e. an on-site licensing survey prior to
relocation of the provider.
3. Upon approval of the requirements for a
change in geographic location, the department may issue a new license to the
BHS provider.
F. Any
request for a duplicate license shall be accompanied by the required
fee.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2151-2161.