Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 75 - Licensing of Rural Health Clinics
Subchapter A - General Provisions
Section I-7503 - Licensing

Universal Citation: LA Admin Code I-7503

Current through Register Vol. 50, No. 9, September 20, 2024

A. General Provisions. Rural Health Clinics shall:

1. operate in accordance with rules, regulations and standards contained in this document;

2. meet and maintain compliance with all current DHH minimum licensing standards;

3. maintain a sufficient number of qualified professional personnel to provide services appropriate to level of care and the number of patients served; and

4. maintain at least $500,000 of general liability insurance and $500,000 of professional liability insurance and provide to DHH proof of insurance upon request;

5. The rural health clinic license shall be posted within public view in a conspicuous place within the facility.

B. Initial Licensing

1. Policies
a. All applications shall be original documents submitted to HSS in accordance with current procedures.

b. Incomplete applications will be closed and discarded 90 days from date of original submission of data. An application is not considered pending until the day a complete application has been received and approved.

c. Any misrepresentation or falsification of documentation will nullify the application and automatically restrict the applicant from participation in any programs licensed by HSS for at least one year.

d. Fees or payments for charges submitted to HSS shall be in the form of a company check, certified check or money order made payable to DHH and are non-refundable and non-transferable.

2. Procedures
a. Obtain a packet from HSS (packet is informational and current for approximately 90 days from date of purchase).

b. Complete and submit an original rural health clinic licensing application.

c. Submit the appropriate licensing fee.

d. Submit the following documentation:
i. all documentation pertinent to the proposed location from the Division of Research and Development, Office of Primary and Rural Health Care Unit and dated within 30 days prior to application;

ii. written approval of site/building plans by DHH planning review section;

iii. required jurisdictional approvals-local, state, and federal such as zoning, Fire Marshal, and sanitation;

iv. letter of intent which shall include:
(a). proposed operational hours;

(b). proposed target population including clinic location, service area, and pertinent demographics;

(c). copy of site plan and sketch of the floor plan of the building;

(d). proposed date to begin operation;

(e). services to be provided;

(f). relationships and/or agreements with other entities (hospitals, emergency transportation, etc.);

(g). other licenses, contracts with state, such as Community Care, Kid Med, managed care, etc.;

v. appropriate CLIA approval prior to any initial survey.

3. Survey. Prior to issuing an initial license, DHH/HSS will make a comprehensive on-site assessment to determine the capability of the facility to provide primary care services. A facility shall be operational prior to survey and must have seen at least five patients at the time of survey.

C. Types of License

1. Full, Unrestricted. This license type indicates that the facility is in full compliance with licensing standards, and is valid for one year unless revoked, suspended, or denied. The license is non-transferable.

2. Provisional. This license type is issued for a specific length of time in order to designate that the facility is not in full compliance with licensing standards. A provisional license may be issued for the following reasons:
a. any repeat violation;

b. serious violation during any survey or on-site visit;

c. isolated incidence of non-compliance that has the potential for serious harm if not corrected immediately; or

d. determination that the facility has potential for serious violation or potential harm due to personnel turnovers, ownership changes, management changes, etc.

D. Informal Dispute Resolution. Following each survey, the provider will have one opportunity to question citations of deficient practice through an informal dispute resolution process. Notice is sent with each statement of deficiencies and provides instructions on how to request the informal dispute resolution.

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:153 and R.S. 40:2197.

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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