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Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

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Statewide Initiatives



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Adult Residential License Renewal Procedure

Please be sure to complete all sections of the renewal application.  If a particular section does not apply to the facility please insert N/A.  If all sections of the application are not completed, the application will be returned to the administrator. 

  1.  Adult Residential Care Provider Renewal Application form
  2. Applicable license renewal fee
    * Any ARCP previously licensed by DSS as of June 30, 2010 shall pay a $250 license renewal fee.
    * Any ARCP previously licensed by DSS as of June 30, 2010 that changes their level, shall pay $600· plus $5 per unit
  3. Current State Fire Marshall Report.· Facilities located in New Orleans must also submit the city Fire Marshall Report
  4. Current Office of Public Health inspection report
  5. Current proof of current general and professional liability insurance of at least·$300,000 each

HSS Payment Procedure website: http://new.dhh.louisiana.gov/index.cfm/page/1737

IMPORTANT:

1. Payments & Payment Transmittal form must be submitted to Chase Bank
P.O. Box Below:

DHH Licensing Fee
P.O. Box 62949
New Orleans, LA 70162-2949

2. Documentation, such as the application form, Disclosure of Ownership, OPH reports must be sent to Health Standards Section at:

Health Standards Section
P.O. Box 3767
Baton Rouge, LA 70821-3767