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. 

Note- All ARCPs are required to file an electronic report with the ESF-8 Portal (EMSTAT) during a declared emergency, disaster, or public health emergency. Please visit the ESF-8 website to register your ARCP. Website (click here)

Effective June 20, 2017, providers wanting to send express mail must do so by using either US Postal Services Priority Mail® or Priority Mail Express, not FedEx or UPS.

  1. Adult Residential Care Provider Renewal Application form;
  2. Non-refundable License Renewal Fee;
  3. Proof of Financial Viability to Include: a. A letter of credit issued from a federally insured, licensed lending institution in the amount of at least $100,000 or the cost of three months operation, whichever is less; or b. affidavit of verification of sufficient assets equal to $100,000 or the cost of three months operation, whichever is less (for verification of sufficient assets letter must be notarized);
  4. Current State Fire Marshall Report;
  5. Current Office of Public Health inspection report;
  6. Proof of General Liability Insurance of at least·$300,000;
  7. Proof of Professional Liability Insurance of at least $300,000;
  8. Proof of Workers' Compensation Insurance.

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:

LDH 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