La. Admin. Code tit. 48 § I-4507

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-4507 - Initial Licensure Application Process

A. An initial application for licensing as an ASC shall be obtained from the department. A completed initial license application packet for an ASC shall be submitted to, and approved by the department, prior to an applicant providing services.

B. The initial licensing application packet shall include:

1. a completed licensure application and the non-refundable licensing fee as established by statute;

2. a copy of the approval letter(s) of the architectural and licensing facility plans from the Office of the State Fire Marshal (OSFM) and any other office/entity designated by the department to review and approve the facilitys architectural and licensing plan review;

3. a copy of the on-site inspection report with approval for occupancy by the Office of the State Fire Marshal, if applicable;

4. a copy of the on-site health inspection report with approval for occupancy from the Office of Public Health (OPH);

5. proof of each insurance coverage as follows:

a. general liability insurance of at least $300,000 per occurrence;

b. workers compensation insurance as required by state law;

c. professional liability insurance of at least $100,000 per occurrence/$300,000 per annual aggregate, or proof of self-insurance of at least $100,000, along with proof of enrollment as a qualified health care provider with the Louisiana Patient's Compensation Fund (PCF):

i. if the ASC is not enrolled in the PCF, professional liability limits shall be $1 million per occurrence/$3 million per annual aggregate; and

d. the LDH Health Standards Section shall specifically be identified as the certificate holder on any policies and any certificates of insurance issued as proof of insurance by the insurer or producer (agent);

6. proof of a line of credit issued from a federally insured, licensed lending institution in the amount of at least $100,000;

7. disclosure of ownership and control information;

8. the usual and customary days and hours of operation;

9. an organizational chart and names, including position titles, of key administrative personnel and governing body;

10. controlled dangerous substance application;

11. fiscal intermediary, if applicable;

12. Secretary of States articles of incorporation;

13. clinical laboratory improvement amendments (CLIA) certificate or CLIA certificate of waiver, if applicable;

14. an 8.5 x 11 inch mapped floor plan; and

15. any other documentation or information required by the department for licensure.

C. If the initial licensing packet is incomplete, the applicant shall be notified of the missing information, and shall have 90 days from receipt of the notification to submit the additional requested information. If the additional requested information is not submitted to the department within 90 days, the application shall be closed. If an initial licensing application is closed, an applicant who is still interested in becoming an ASC shall be required to submit a new initial licensing application packet with the required fee to start the initial licensing process.

D. Once the initial licensing application packet has been approved by the department, notification of such approval shall be forwarded to the applicant. Within 90 days of receipt of the approval of the application, the applicant shall notify the department that the ASC is ready and is requesting an initial licensing survey. If an applicant fails to notify the department within 90 days, the initial licensing application shall be closed. After an initial licensing application is closed, an applicant who is still interested in becoming a licensed ASC shall be required to submit a new initial licensing packet with the required fee to start the initial licensing process.

E. Applicants shall be in compliance with all appropriate federal, state, departmental or local statutes, laws, ordinances, rules, regulations and fees before the ASC will be issued an initial license to operate.

La. Admin. Code tit. 48, § I-4507

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 431734 (9/1/2017), Amended LR 491930 (11/1/2023).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and 40:2131-2141.