La. Admin. Code tit. 48 § I-7813

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

Section I-7813 - Initial Application Process

A. An application packet for licensing as a pain management clinic shall be obtained from the Department of Health and Hospitals. A completed application packet for a clinic shall be submitted to and approved by the department prior to an applicant providing services.

B. To be considered complete, the initial licensing application packet shall include the following:

1. the current non-refundable licensing fee pursuant to R. S. 40:2198.13;

2. a copy of the plan review for life safety code and licensing and the on-site inspection report with approvals for occupancy from the OSFM;

3. a copy of the health inspection report with a recommendation for licensure or a recommendation for denial of licensure from the OPH;

4. a zoning approval from local governmental authorities;

5. a statewide criminal background check on all owners conducted by the Louisiana State Police or its designee;

6. verification of the physician owners certification in the subspecialty of pain management;

7. proof of professional liability insurance of at least $500,000;

a. proof of maintenance of professional liability insurance of at least $500,000 shall be provided to the department at the time of initial licensure, at renewal of licensure, and upon request;

8. an organizational chart identifying the name, position, and title of each person composing the governing body and key administrative personnel;

9. a floor sketch or drawing of the premises to be licensed; and

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

La. Admin. Code tit. 48, § I-7813

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:81 (January 2008), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 412645 (12/1/2015).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40.2198.11-13.