Hospital Service Action Packets

Service Actions Main Campus with No LDH Plan Review Required

The information and forms in this packet are designed to assist providers in notifying Health Standards of service actions at the main campus for which a LDH Plan Review is not required such as the following:

  • Adding services
  • Deleting services
  • Relocating Services
  • Changing the space where services are provided
  • Altering and/or renaming rooms on the floor plan that is currently on file with this agency.

This packet should not be used if the actions affect inpatient rooms/beds, the addition/termination of offsite campuses, name/ownership changes and relocations of campuses.

To determine if this action is exempt from a LDH Plan Review please click on the following link: http://dhh.louisiana.gov/index.cfm/page/287

 Please complete forms below:

 


 

 Service Actions Main Campus with LDH Plan Review Required

The information and forms in this packet are designed to assist providers in notifying Health Standards of service actions at the main campus for which a LDH Plan Review is required such as the following:

  • Adding services
  • Deleting services
  • Relocating Services
  • Changing the space where services are provided
  • Altering and/or renaming rooms on the floor plan that is currently on file with this agency.

This packet should not be used if the actions affect inpatient rooms/beds, the addition/termination of offsite campuses, name/ownership changes and relocations of campuses.

To determine if this action is exempt from a LDH Plan Review please click on the following link:
http://dhh.louisiana.gov/index.cfm/page/287

 Please complete the forms below:


 Service Actions Offsite Campus with No LDH Plan Review Required

The information and forms in this packet are designed to assist providers in notifying Health Standards of service actions at an offsite campus for which a LDH Plan Review is not required such as the following:

  • Adding services
  • Deleting services
  • Relocating Services
  • Changing the space where services are provided
  • Altering and/or renaming rooms on the floor plan that is currently on file with this agency.

This packet should not be used if the actions affect inpatient rooms/beds, the addition/termination of offsite campuses, name/ownership changes and relocations of campuses.

 To determine if this action is exempt from a LDH Plan Review please click on the following link:
http://dhh.louisiana.gov/index.cfm/page/287

 Please complete the forms below


 Service Actions Offsite Campus with LDH Plan Review Required

The information and forms in this packet are designed to assist providers in notifying Health Standards of service actions at the offsite campus for which a LDH Plan Review is required such as the following:

  • Adding services
  • Deleting services
  • Relocating Services
  • Changing the space where services are provided
  • Altering and/or renaming rooms on the floor plan that is currently on file with this agency.

This packet should not be used if the actions affect inpatient rooms/beds, the addition/termination of offsite campuses, name/ownership changes and relocations of campuses.

To determine if this action is exempt from a LDH Plan Review please click on the following link: http://dhh.louisiana.gov/index.cfm/page/287

 Please complete the forms below: