These videos give an overview of the various Home and Community-Based Services (HCBS) available in Louisiana for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Louisiana. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN LOUISIANA
PROVIDING TEMPORARY RELIEF FOR FAMILY CAREGIVERS WHILE ENSURING SAFE, COMPASSIONATE SUPPORT FOR INDIVIDUALS WITH DISABILITIES OR COMPLEX NEEDS
Respite Care Services in Louisiana offer short-term, substitute care for individuals with disabilities, chronic conditions, or age-related limitations—giving unpaid caregivers a break while ensuring the individual continues to receive needed support. Respite services are authorized under several Home and Community-Based Services (HCBS) waivers, and may occur in-home, at licensed facilities, or in community settings.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office for Citizens with Developmental Disabilities (OCDD) & Office of Aging and Adult Services (OAAS)
Role: Regulates respite services under HCBS waivers and monitors provider quality and licensure
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for 1915(c) waiver-funded respite programs
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Manages Medicaid provider enrollment and claims reimbursement
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: May authorize or coordinate respite services in some waiver programs
2. RESPITE CARE SERVICE OVERVIEW
Respite care gives family caregivers scheduled or emergency breaks by having trained providers step in to support the individual’s daily needs and well-being.
Approved services may include:
In-home respite: temporary caregiving within the participant’s home
Out-of-home respite: care in a licensed residential or day facility
Planned or emergency coverage (e.g., medical appointments, travel, caregiver illness)
Overnight or weekend respite (as authorized)
Behavioral support and ADL/IADL assistance during the respite period
Respite services must be documented in the participant’s Plan of Care (POC) and align with individual needs and safety considerations.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Apply for respite service provider enrollment via the Louisiana Medicaid Provider Enrollment Portal
Obtain OCDD or OAAS licensure if operating a facility-based respite program
Maintain general liability and worker’s compensation insurance
Hire qualified respite workers or direct support staff
Develop a Respite Care Policy & Procedure Manual
Ensure HIPAA-compliant documentation and emergency protocols
4. PROVIDER ENROLLMENT PROCESS
Option A: In-Home Respite Provider
Enroll as a waiver respite provider at https://www.lamedicaid.com
Submit staff qualifications, policies, and service plans to LDH
Coordinate with waiver support coordinators for referrals
Option B: Facility-Based Respite Provider
Apply for appropriate LDH residential or day service licensure
Ensure facility meets life safety, ADA, and programmatic standards
Enroll as a Medicaid provider and coordinate with OCDD or OAAS
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietor filing
IRS EIN and NPI confirmation
Proof of insurance coverage
Licensure (if providing facility-based care)
Respite Care Policy & Procedure Manual, including:
Client intake and scheduling templates
Daily activity logs and shift documentation forms
Medication administration protocols (if applicable)
Emergency and incident response procedures
Participant rights and consent forms
Abuse prevention, training logs, and supervision checklists
Billing logs and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Respite Worker / Direct Support Professional (DSP)
Requirements: High school diploma or equivalent; experience with caregiving or disability support; CPR/First Aid training; background check clearance
Role: Program Supervisor / Scheduler (for agencies)
Requirements: Experience in service coordination and personnel management; ensures scheduling, documentation, and care quality
Training Requirements for All Staff:
HIPAA and participant confidentiality
Abuse and neglect prevention (mandatory reporter training)
Basic ADL/IADL support techniques
Emergency procedures and infection control
Person-centered care and documentation practices
7. MEDICAID WAIVER SERVICES
Respite Care is reimbursed under:
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Children’s Choice Waiver
Community Choices Waiver (limited support for aging adults)
Money Follows the Person (MFP) — transition support for caregivers post-institutional discharge
Approved providers may deliver:
Flexible short-term care hours based on caregiver needs
Daily, hourly, or overnight billing (based on waiver authorizations)
In-home or licensed setting-based coverage
Coordination with waiver support coordinators and service teams
8. TIMELINE TO LAUNCH
Phase: Business Registration and Staff Hiring
Timeline: 1–2 months
Phase: Medicaid Enrollment and Policy Manual Development
Timeline: 60–90 days
Phase: Staff Credentialing and Licensing (if facility-based)
Timeline: 1 month
Phase: Referral Coordination and Service Delivery
Timeline: Ongoing, based on waiver caseloads and caregiver demand
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
LDH Health Standards Section (for facility licensure)
Website: https://ldh.la.gov/page/282
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA RESPITE CARE PROVIDER
WCG supports caregiver agencies, community organizations, and independent providers in launching licensed, Medicaid-approved Respite Care programs across Louisiana.
Scope of Work:
Business registration and Medicaid enrollment
LDH facility licensure (if applicable)
Respite Care Policy & Procedure Manual creation
Staff credentialing and onboarding tools
Daily log templates and service documentation forms
Referral strategies with waiver support coordinators and discharge planners
Audit readiness checklists and Medicaid billing systems
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN LOUISIANA
EMPOWERING INDIVIDUALS WITH DISABILITIES TO FIND, OBTAIN, AND MAINTAIN COMPETITIVE INTEGRATED EMPLOYMENT
Supported Employment Services in Louisiana help individuals with disabilities achieve meaningful employment through personalized job development, on-the-job training, and ongoing support. These services are authorized under various Home and Community-Based Services (HCBS) waivers and coordinated with the Louisiana Rehabilitation Services (LRS) to ensure participants work in inclusive, community-based setting.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office for Citizens with Developmental Disabilities (OCDD)
Role: Defines supported employment service standards for waiver participants and monitors provider compliance
Agency: Louisiana Rehabilitation Services (LRS), under the Louisiana Workforce Commission
Role: Provides pre-employment transition services, vocational evaluations, and initial job development before long-term waiver-based employment services begin
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures HCBS waiver-supported employment complies with federal person-centered planning and community integration requirements
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: May coordinate or reimburse employment supports depending on waiver and participant plan of care
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment includes individualized supports that help people with disabilities:
Obtain and sustain competitive, integrated employment
Learn job tasks and workplace expectations
Build social and workplace communication skills
Receive long-term follow-along supports as needed
Approved services may include:
Person-centered career planning
Job development and employer negotiation
On-site job coaching and task training
Transportation coordination to and from work
Ongoing follow-up, advocacy, and workplace problem-solving
Documentation of goals, hours worked, and job outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Louisiana Medicaid via the Provider Enrollment Portal
Become an OCDD-approved Supported Employment Provider
Establish a written agreement or process with LRS for referral collaboration
Maintain liability insurance and worker’s compensation coverage
Employ qualified Employment Specialists or Job Coaches
Develop a Supported Employment Policy & Procedure Manual
Ensure HIPAA-compliant documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid and Waiver Enrollment
Apply through https://www.lamedicaid.com as a waiver service provider
Specify "Supported Employment Services" under HCBS options
Step 2: OCDD Program Approval
Submit staff qualifications, training plans, and sample service documentation
Complete provider orientation or training sessions (if required by LDH)
Step 3: Establish LRS Collaboration
Coordinate with LRS for participant referrals and transition from short-term to waiver-funded services
Step 4: Service Delivery
Receive referrals from support coordinators
Provide job search, placement, and follow-along services
Track employment outcomes and submit documentation for billing
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietorship filing
IRS EIN and NPI confirmation
OCDD or waiver program approval
Certificates of liability and worker’s comp insurance
Supported Employment Policy & Procedure Manual, including:
Person-centered employment planning templates
Job development and employer contact logs
Daily job coaching notes and follow-up tracking
Participant rights and informed consent forms
Critical incident and workplace safety protocols
Staff training logs and certification records
Medicaid billing logs and wage documentation
6. STAFFING REQUIREMENTS
Role: Employment Specialist / Job Coach
Requirements: High school diploma (minimum), Bachelor's in rehabilitation, education, or social work preferred; at least 1 year of experience in vocational services; background check; CPR/First Aid training (recommended)
Role: Program Manager / Supervisor
Requirements: 2–3 years of employment support experience; responsible for compliance, service quality, and staff supervision
Training Requirements for All Staff:
HIPAA and confidentiality
Workplace accommodations and ADA awareness
Supported employment best practices and documentation
Positive behavior supports and soft skill training
Safety, transportation planning, and emergency procedures
7. MEDICAID WAIVER & VOCATIONAL PROGRAMS
Supported Employment is reimbursed under:
Residential Options Waiver (ROW)
Supports Waiver
New Opportunities Waiver (NOW)
Children’s Choice Waiver (limited employment supports)
Money Follows the Person (MFP) for transitional work support
Additional coordination may occur with:
Louisiana Rehabilitation Services (LRS) — short-term job placement and vocational readiness
Employment First Initiative — promoting integrated work for all waiver-eligible adults
8. TIMELINE TO LAUNCH
Phase: Business Registration and Initial Training
Timeline: 1–2 months
Phase: Medicaid Enrollment and OCDD Approval
Timeline: 60–90 days
Phase: Staff Hiring and Documentation Setup
Timeline: 2–4 weeks
Phase: Participant Referrals and Job Matching
Timeline: Ongoing, based on waiver caseloads and employer availability
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health — OCDD Supported Employment Services
Website: https://ldh.la.gov/page/121
Louisiana Rehabilitation Services (LRS)
Website: https://www.laworks.net/WorkforceDev/LRS/LRS_ProgramInfo.asp
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.medicaid.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA SUPPORTED EMPLOYMENT PROVIDER
We assist disability service agencies, employment coaches, and community rehab providers in launching Medicaid-compliant Supported Employment programs throughout Louisiana.
Scope of Work:
Business registration, Medicaid, and waiver enrollment
Supported Employment Policy & Procedure Manual development
Intake forms, job placement templates, and coaching logs
Wage documentation, outcome tracking, and audit support
Staff training modules and supervision trackers
Employer engagement tools and referral networking with LRS and OCDD
Personal Care
PERSONAL CARE SERVICES PROVIDER IN LOUISIANA
DELIVERING DAILY ASSISTANCE TO PROMOTE INDEPENDENCE, DIGNITY, AND SAFETY AT HOME
Personal Care Services (PCS) in Louisiana provide hands-on support with daily living activities for individuals with disabilities, chronic conditions, or age-related needs. These services help Medicaid participants remain in their homes or community-based settings by assisting with tasks they cannot safely perform on their own. PCS are available under the Louisiana Medicaid State Plan, Community Choices Waiver (CCW), and EPSDT services for youth under 21.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Bureau of Health Services Financing
Role: Administers Medicaid PCS policies, provider enrollment, and service authorizations
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Medicaid-funded PCS comply with federal standards under State Plan and waiver services
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: Coordinate care authorization, oversee provider credentialing, and reimburse PCS claims
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Processes provider applications, claims, and payments
2. PERSONAL CARE SERVICE OVERVIEW
Personal Care Services are non-medical supports that help participants with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) to maintain health and safety at home.
Approved services may include:
Bathing, grooming, dressing, and toileting assistance
Mobility, positioning, and transfer support
Meal preparation and feeding assistance
Medication reminders (non-clinical)
Light housekeeping related to participant care
Accompaniment to medical appointments or errands
Safety monitoring and documentation of care
PCS must be medically necessary, authorized in the participant’s Plan of Care (POC) or Service Plan, and delivered by trained Personal Care Attendants (PCAs) or aides under supervision.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Apply for PCS Provider Type through the Louisiana Medicaid Provider Enrollment Portal
Obtain licensure as a Licensed Personal Care Attendant (LPCA) agency if required
Maintain liability and workers’ compensation insurance
Hire and train qualified PCAs or Direct Support Professionals (DSPs)
Develop a Personal Care Services Policy & Procedure Manual
Implement HIPAA-compliant documentation, scheduling, and time-tracking systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply at https://www.lamedicaid.com as a PCS provider
Submit NPI, EIN, insurance, and business documentation
Step 2: Credentialing with MCOs (if serving managed care participants)
Contract with each MCO separately (Aetna, UHC, Healthy Blue, LA Healthcare Connections, AmeriHealth Caritas)
Step 3: Staff Hiring and Onboarding
Complete background checks, initial training, and required screenings for all PCAs
Step 4: Begin Service Delivery with Authorized POC
Receive referrals from case managers
Start in-home support and document all tasks provided
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietor registration
IRS EIN and NPI confirmation
Proof of general liability and worker’s comp insurance
Medicaid enrollment confirmation
PCS Policy & Procedure Manual including:
Intake and Service Plan templates
Daily activity log sheets
Medication reminder protocols
Incident and grievance reporting forms
Participant rights and consent forms
Staff orientation, supervision, and competency records
HIPAA policies and timekeeping procedures
Medicaid billing templates and audit-ready logs
6. STAFFING REQUIREMENTS
Role: Personal Care Attendant (PCA) / Direct Support Professional (DSP)
Requirements: High school diploma or GED (preferred); background check; CPR/First Aid certification (recommended); hands-on training in ADLs
Role: Field Supervisor / Program Manager
Requirements: Experience in home care oversight; responsible for visit quality, documentation review, and incident follow-up
Training Requirements for All Staff:
HIPAA and participant confidentiality
Infection control and personal care hygiene
Abuse/neglect prevention and reporting
ADL/IADL documentation
Emergency response procedures
Person-centered care principles
7. MEDICAID WAIVER & STATE PLAN SERVICES
Personal Care Services are reimbursed under:
Louisiana Medicaid State Plan (PCS Program)
Community Choices Waiver (CCW) — for adults with disabilities and seniors
EPSDT PCS — Early and Periodic Screening, Diagnosis, and Treatment for youth under 21
Money Follows the Person (MFP) — transitional personal care post-discharge
Approved providers may deliver:
In-home assistance aligned with the care plan
Daytime or overnight support (based on authorization)
Time-tracked documentation linked to approved hours
Coordination with case managers and interdisciplinary teams
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 months
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Staff Hiring, Training, and System Setup
Timeline: 2–4 weeks
Phase: Participant Referrals and Service Launch
Timeline: Ongoing, based on caseload assignment and authorization
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health — PCS Program Resources
Website: https://ldh.la.gov
LDH Health Standards Section (Licensure)
Website: https://ldh.la.gov/page/282
Managed Care Organizations (MCOs):
Aetna Better Health of Louisiana: https://www.aetnabetterhealth.com/louisiana
Healthy Blue: https://www.healthybluela.com
AmeriHealth Caritas Louisiana: https://www.amerihealthcaritasla.com
UnitedHealthcare: https://www.uhccommunityplan.com/la
Louisiana Healthcare Connections: https://www.louisianahealthconnect.com
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA PERSONAL CARE SERVICES PROVIDER
WCG supports independent providers and home care agencies in launching compliant, Medicaid-enrolled Personal Care Services in Louisiana.
Scope of Work:
Medicaid enrollment and MCO credentialing
Policy & Procedure Manual development
Staff hiring checklists, onboarding logs, and care documentation tools
Intake forms, daily logs, and incident tracking systems
Timekeeping templates and Medicaid billing support
Referral development with case managers and hospitals
Personal Emergency Response System
PERSONAL EMERGENCY RESPONSE SYSTEM SERVICES PROVIDER IN LOUISIANA
ENHANCING SAFETY AND RAPID RESPONSE ACCESS FOR INDEPENDENT LIVING PARTICIPANTS
Personal Emergency Response System (PERS) Services in Louisiana enable Medicaid waiver participants—especially seniors and individuals with disabilities—to remain safely at home by offering 24/7 access to emergency assistance. These services support independence while ensuring timely intervention in the event of falls, medical incidents, or safety concerns.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Aging and Adult Services (OAAS)
Role: Oversees service delivery standards and provider participation under applicable Medicaid waivers
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Manages Medicaid provider enrollment, service claims, and payment processing
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures PERS services comply with federal HCBS regulations
Agency: Managed Care Organizations (MCOs)** (for participants under Bayou Health)
Role: Authorize PERS units under the participant’s Plan of Care (POC), coordinate service approval, and manage reimbursement
2. SERVICE OVERVIEW
Personal Emergency Response Systems (PERS) are electronic monitoring devices that allow participants to summon help in emergencies with the push of a button—24 hours a day.
Covered PERS services may include:
Installation of basic landline or cellular PERS devices
Provision of fall detection features or wearable pendants/wristbands
24/7 monitoring and emergency response dispatch
Maintenance, testing, and replacement of faulty devices
Training for participants and caregivers on device use
Optional GPS-enabled or mobile PERS for participants who are active in the community
All services must be medically necessary, authorized in the Plan of Care, and approved by the case manager or MCO before installation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll through the Louisiana Medicaid Provider Enrollment Portal as a PERS provider
Maintain general liability and product insurance
Use UL-listed or equivalent certified emergency response devices
Partner with a 24/7 monitoring center that complies with HIPAA and CMS standards
Develop a PERS Services Policy & Procedure Manual
Ensure device tracking, service logs, and client records are HIPAA-compliant
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through https://www.lamedicaid.com as a PERS provider or Durable Medical Equipment (DME) supplier with PERS services
Step 2: Submit Documentation
Include business licenses, monitoring agreements, insurance, and device specifications
Step 3: Coordination with Waiver Case Managers or MCOs
Provide service quotes and participate in development of participant POCs
Step 4: Device Setup and Monitoring Activation
Deliver and install the device
Educate participant and/or caregiver
Submit installation documentation and monthly monitoring claims
5. REQUIRED DOCUMENTATION
Business license and Articles of Incorporation
IRS EIN and NPI confirmation
Proof of liability insurance and monitoring center certification
Personal Emergency Response Services Policy & Procedure Manual, including:
Participant intake and risk assessment forms
Installation and service authorization logs
HIPAA-compliant emergency response procedures
Monitoring system checklists and device testing protocols
Participant and caregiver training records
Equipment inventory and replacement logs
Critical incident documentation and response tracking
Monthly billing records and audit-prep materials
6. STAFFING REQUIREMENTS
Role: PERS Installer / Field Technician
Requirements: Trained in basic electronics and HIPAA; background check required
Role: Monitoring Center Operators
Requirements: Staffed 24/7 by trained responders; experience in crisis communication; follows response protocols
Role (optional): Customer Support or Case Liaison
Requirements: Assists with troubleshooting, user engagement, and monthly reporting
All staff must complete:
HIPAA compliance training
Emergency communication protocols
Device operation and maintenance training
Participant rights and confidentiality orientation
7. MEDICAID PROGRAMS & HCBS WAIVERS
PERS services are authorized under:
Community Choices Waiver (CCW)
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Money Follows the Person (MFP) transition services (as applicable)
Eligibility Requirements:
Participant must live alone or be at high risk for falls or medical emergencies
Service must be included in the Plan of Care and approved prior to installation
Not available to participants in institutional settings
8. TIMELINE TO LAUNCH
Phase: Business Registration and Monitoring Setup
Timeline: 1–2 months
Phase: Medicaid Enrollment and Credentialing
Timeline: 60–90 days
Phase: Equipment Procurement and Documentation Setup
Timeline: 30–45 days
Phase: Participant Referrals and Activation
Timeline: Rolling, based on case manager requests and MCO approvals
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA PERS PROVIDER
WCG supports technology firms, emergency response networks, and home care agencies in launching compliant Personal Emergency Response System services across Louisiana.
Scope of Work:
Medicaid enrollment and MCO credentialing for PERS services
Development of PERS Policy & Procedure Manual
HIPAA-compliant device setup forms, training logs, and monitoring agreements
Emergency response documentation, incident reporting templates, and billing support
Outreach materials for case managers and elder care coordinators
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN LOUISIANA
DELIVERING PROFESSIONAL NURSING CARE TO SUPPORT COMPLEX MEDICAL NEEDS IN COMMUNITY SETTINGS
Skilled Nursing Services in Louisiana provide Medicaid waiver participants with medically necessary nursing care delivered by licensed professionals in home or community-based environments. These services are critical for individuals who require regular medical oversight, complex care management, or support with chronic conditions—enabling them to remain in their homes rather than institutional settings.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Aging and Adult Services (OAAS) & Office for Citizens with Developmental Disabilities (OCDD)
Role: Defines program requirements and monitors the delivery of skilled nursing services within HCBS waivers
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Handles Medicaid provider enrollment, claims processing, and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight for skilled services under 1915(c) HCBS waiver programs
Agency: Managed Care Organizations (MCOs)** (under Bayou Health)
Role: Authorize skilled nursing services based on the participant’s Plan of Care (POC), coordinate care, and issue payments
2. SERVICE OVERVIEW
Skilled Nursing Services involve professional clinical care delivered by Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) under the supervision of a physician or waiver case manager.
Covered services may include:
Medication administration and IV therapy
Wound care and catheter maintenance
Tube feedings and tracheostomy care
Vital sign monitoring and skilled assessments
Disease management for chronic conditions (e.g., diabetes, COPD, CHF)
Health teaching and caregiver education
Complex care coordination and reporting
Emergency response planning and delegated nursing tasks
All services must be medically necessary, documented in the participant’s Plan of Care, and pre-authorized by the participant’s MCO or waiver case manager.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Secure Home Health Agency Licensure (if operating as a full agency) or enroll as an individual licensed nurse
Enroll through the Louisiana Medicaid Provider Enrollment Portal
Maintain professional liability and workers’ compensation insurance
Hire and credential licensed RNs and LPNs in accordance with Louisiana State Board of Nursing (LSBN)
Develop a Skilled Nursing Services Policy & Procedure Manual
Implement HIPAA-compliant electronic health records and billing systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply through https://www.lamedicaid.com under the appropriate waiver service category
Step 2: Home Health Licensure (if applicable)
Apply through the LDH Health Standards Section if operating as an agency
Step 3: Submit Supporting Documents
Provide business documents, nursing licenses, insurance, and sample care plans
Step 4: MCO Credentialing & Case Manager Coordination
Credential with MCOs for referrals and billing
Coordinate with case managers to initiate care per participant-specific Plan of Care
5. REQUIRED DOCUMENTATION
Louisiana Articles of Incorporation or Business License
IRS EIN and NPI confirmation
Home Health Agency License (if applicable)
Certificates of insurance (liability and workers’ comp)
Skilled Nursing Services Policy & Procedure Manual, including:
Nursing assessment forms and care plan templates
Medication administration records (MARs)
Clinical documentation logs and shift notes
HIPAA compliance policies and participant consent forms
Emergency protocols and infection control procedures
Nurse credentialing and license verification logs
Billing logs, time sheets, and audit-ready service summaries
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN)
Requirements: Active Louisiana license through LSBN; CPR certified; clinical experience preferred
Role: Licensed Practical Nurse (LPN)
Requirements: Licensed in Louisiana; works under RN supervision; experience in long-term or complex care
Role: Nurse Supervisor or Clinical Director (for agencies)
Requirements: RN license; responsible for oversight, compliance, and supervision
All staff must complete:
HIPAA and confidentiality training
Abuse, neglect, and exploitation prevention protocols
Documentation standards and Plan of Care training
Infection control and emergency preparedness
Annual continuing education and license renewal tracking
7. MEDICAID PROGRAMS & HCBS WAIVERS
Skilled Nursing Services are reimbursable under:
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Children’s Choice Waiver
Community Choices Waiver (CCW)
Long-Term Personal Care Services (LT-PCS) (with authorization)
Technology Assisted (TA) Program (via EPSDT)
Service delivery settings include:
Participant’s home or community-based residence
Adult day programs or school (if medically justified and authorized)
8. TIMELINE TO LAUNCH
Phase: Business Registration and Nurse Recruitment
Timeline: 1–2 months
Phase: Licensure (Home Health) and Medicaid Enrollment
Timeline: 60–90 days
Phase: Staff Credentialing and Manual Development
Timeline: 1 month
Phase: Service Launch Following MCO Approvals
Timeline: Rolling, based on referrals and participant eligibility
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana State Board of Nursing (LSBN)
Website: https://www.lsbn.state.la.us
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Health Standards Section (Home Health Licensure)
Website: https://ldh.la.gov/page/282
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA SKILLED NURSING PROVIDER
WCG helps licensed nurses and home health agencies establish Medicaid-approved Skilled Nursing Services that meet HCBS requirements across Louisiana.
Scope of Work:
Provider enrollment and home health licensure support
Skilled Nursing Policy & Procedure Manual development
Staff credentialing templates and compliance trackers
Clinical documentation and audit-prep tools
HIPAA-compliant charting and MAR systems
Referral and care coordination pathways with waiver teams and physicians
Community Integration & Habilitation
COMMUNITY INTEGRATION AND HABILITATION SERVICES PROVIDER IN LOUISIANA
SUPPORTING INDEPENDENCE, SKILL DEVELOPMENT, AND MEANINGFUL COMMUNITY PARTICIPATION
Community Integration and Habilitation Services in Louisiana help individuals with intellectual and developmental disabilities (I/DD), acquired brain injuries, and other support needs develop life skills and actively participate in their communities. These services are available through Home and Community-Based Services (HCBS) waivers and are structured to promote independence, community belonging, and reduced reliance on institutional care.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office for Citizens with Developmental Disabilities (OCDD)
Role: Administers waiver programs and sets standards for habilitation, community access, and individualized services
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Processes provider enrollment, billing, and Medicaid reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Ensures federal compliance with HCBS rules, person-centered planning, and community integration mandates
Agency: Managed Care Organizations (MCOs)** (for those enrolled in Bayou Health)
Role: Authorize services in the participant’s Plan of Care (POC) and coordinate billing and service delivery
2. SERVICE OVERVIEW
Community Integration and Habilitation Services are individualized, goal-driven supports that promote:
Participation in community activities (e.g., volunteering, recreation, social engagement)
Development of adaptive and daily living skills
Increased autonomy in communication, transportation, budgeting, and socialization
Support for behavioral needs in real-world settings
Training in safety awareness, health management, and community navigation
Access to natural supports and peer relationships
Services must be outlined in a Person-Centered Service Plan (PCSP) and reflect the participant’s personal interests, goals, and support needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll as a Medicaid provider through the Louisiana Medicaid Provider Enrollment Portal
Apply to serve specific HCBS waivers (e.g., ROW, NOW, Supports Waiver)
Maintain general liability and workers’ compensation insurance
Employ or contract with Direct Support Professionals (DSPs) or habilitation specialists
Develop a Community Integration & Habilitation Policy & Procedure Manual
Ensure HIPAA compliance and implement participant progress documentation systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through the Medicaid Provider Enrollment Portal for the selected waiver service categories (e.g., Community Integration, Habilitation, Day Supports)
Step 2: Credentialing and Documentation Submission
Provide business license, staff background checks, training certifications, and policy manual
Step 3: MCO or Support Coordination Alignment
Collaborate with waiver support coordinators to receive referrals and ensure PCSP goals are addressed
Step 4: Service Implementation
Begin community-based support activities and document progress for each participant
Submit claims for authorized hours or sessions as outlined in the waiver guidance
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business license
IRS EIN and NPI documentation
Liability insurance and proof of staff credentialing
Community Integration & Habilitation Policy & Procedure Manual, including:
Intake and functional assessment forms
Goal-setting and PCSP alignment templates
Daily progress note logs and monthly summaries
Community activity logs and incident reporting forms
HIPAA compliance procedures and consent documentation
Participant rights, emergency protocols, and supervision policies
Billing logs and quality assurance reports for audits
6. STAFFING REQUIREMENTS
Role: Direct Support Professional (DSP) / Habilitation Specialist
Requirements: High school diploma or GED; experience with individuals with I/DD or behavioral support needs; cleared background check; CPR/First Aid training preferred
Role: Community Access Facilitator / Program Coordinator
Requirements: Familiarity with HCBS waivers, person-centered practices, and community mapping
All staff must complete:
HIPAA and confidentiality training
Participant rights and abuse prevention training
Safety and emergency response procedures
Annual continuing education in habilitation and disability support
Documentation and PCSP implementation best practices
7. MEDICAID PROGRAMS & HCBS WAIVERS
Community Integration and Habilitation Services are covered under:
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Children’s Choice Waiver (for habilitation and family training supports)
Service delivery settings include:
Community-based locations (e.g., libraries, gyms, volunteer sites)
Participant’s home (for skill-building and personal development)
Day program locations (when approved and non-institutional)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Manual Development
Timeline: 1–2 months
Phase: Medicaid Enrollment and Credentialing
Timeline: 60–90 days
Phase: Staff Hiring and Community Planning
Timeline: 30–45 days
Phase: Participant Referrals and Service Activation
Timeline: Rolling, based on support coordinator and waiver team approvals
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA COMMUNITY INTEGRATION & HABILITATION PROVIDER
WCG assists disability agencies, nonprofits, and independent providers in launching Medicaid-approved Community Integration and Habilitation programs across Louisiana.
Scope of Work:
Medicaid enrollment and waiver credentialing
Development of Policy & Procedure Manual
Goal tracking templates, community activity logs, and daily progress note systems
Staff onboarding materials and DSP training logs
HIPAA-compliant documentation and billing support
Outreach strategies to build referral relationships with support coordinators and waiver teams
Prevocational Services
PREVOCATIONAL SERVICES PROVIDER IN LOUISIANA
BUILDING SKILLS FOR WORKPLACE SUCCESS THROUGH STRUCTURED, COMMUNITY-FOCUSED VOCATIONAL TRAINING
Prevocational Services in Louisiana support individuals with disabilities in developing the foundational skills needed for future competitive employment. These services focus on work readiness, soft skills, and appropriate workplace behaviors and are delivered through structured training programs authorized under the state’s Home and Community-Based Services (HCBS) waivers.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office for Citizens with Developmental Disabilities (OCDD)
Role: Defines standards, monitors outcomes, and approves providers delivering prevocational training under Medicaid waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure that prevocational services align with person-centered goals and the federal HCBS Settings Rule
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Handles provider enrollment and claims processing for waiver-funded services
Agency: Louisiana Rehabilitation Services (LRS)
Role: Collaborates for vocational goal-setting and potential transition to competitive employment services
2. PREVOCATIONAL SERVICE OVERVIEW
Prevocational Services offer non-job-specific training designed to help participants develop general skills that prepare them for employment. Services may take place in small group community settings or individually based on the participant’s Plan of Care (POC).
Approved providers may deliver:
Instruction in workplace etiquette and communication
Problem-solving and decision-making exercises
Time management, attendance, and task completion skills
Vocational assessments and interest inventories
Community-based volunteer opportunities to practice skills
Transportation training and personal presentation workshops
Tracking of progress and readiness for Supported Employment
Services must be tied to individual employment goals, even if the participant is not currently job-seeking.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Louisiana Medicaid through the Provider Enrollment Portal
Become an approved OCDD HCBS provider for Prevocational Services
Maintain liability and workers’ compensation insurance
Hire qualified vocational trainers or DSPs with experience in job readiness instruction
Develop a Prevocational Services Policy & Procedure Manual
Implement HIPAA-compliant documentation and service tracking systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business Registration and Medicaid Enrollment
Enroll at https://www.lamedicaid.com under HCBS waiver provider type
Step 2: Submit to OCDD for Waiver Service Approval
Provide staffing plan, program structure, curriculum samples, and service delivery models
Step 3: Complete Staff Hiring and Credentialing
Background checks, required trainings, and participant rights orientation
Step 4: Begin Referrals and Training Programs
Coordinate with waiver case managers and LRS (if applicable) to support participant goals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietorship documentation
IRS EIN and NPI confirmation
Certificates of insurance
OCDD approval as a HCBS prevocational provider
Prevocational Services Policy & Procedure Manual, including:
Individual Service Plan (ISP) goal tracking sheets
Daily attendance and activity logs
Progress summaries and skill assessments
Participant rights and informed consent forms
Emergency procedures and supervision protocols
Staff training logs and ongoing evaluation templates
Medicaid billing logs and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Vocational Trainer / Direct Support Professional (DSP)
Requirements: High school diploma or equivalent; experience with job readiness training and community-based supports; background check clearance
Role: Program Supervisor / Compliance Manager
Requirements: Experience in employment services or human services management; responsible for staff oversight, documentation, and quality assurance
Training Requirements for All Staff:
HIPAA and participant confidentiality
Workplace safety and soft skills coaching
Behavior management and positive reinforcement
Person-Centered Planning and goal documentation
Abuse/neglect prevention and emergency response
7. MEDICAID WAIVER SERVICES
Prevocational Services are reimbursed under:
Residential Options Waiver (ROW)
Supports Waiver
New Opportunities Waiver (NOW)
Children’s Choice Waiver (limited readiness activities for transition-age youth)
Money Follows the Person (MFP) for employment transition planning
Service delivery options include:
Small-group community-based instruction
Individual skill-building sessions
Training in simulated or real-world environments
Documentation of progress toward employment or further vocational programs
8. TIMELINE TO LAUNCH
Phase: Business Setup and Staff Recruitment
Timeline: 1–2 months
Phase: Medicaid Enrollment and OCDD Program Approval
Timeline: 60–90 days
Phase: Policy Manual and Service Tracking Setup
Timeline: 2–4 weeks
Phase: Participant Referrals and Program Launch
Timeline: Ongoing, based on waiver enrollment and transition plans
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Louisiana Rehabilitation Services (LRS)
Website: https://www.laworks.net/WorkforceDev/LRS/LRS_ProgramInfo.asp
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.medicaid.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA PREVOCATIONAL PROVIDER
WCG helps community-based agencies and vocational programs launch Medicaid-compliant Prevocational Services across Louisiana.
Scope of Work:
Business registration and Medicaid enrollment
OCDD documentation and service approval support
Policy & Procedure Manual tailored to job-readiness training
Skill tracking templates, ISP alignment tools, and safety protocols
Staff onboarding and training compliance logs
Employer outreach strategies and LRS coordination templates
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN LOUISIANA
PROMOTING INDEPENDENCE AND FUNCTIONAL ACCESS THROUGH PERSONALIZED DEVICES AND TECHNOLOGICAL SUPPORTS
Assistive Technology (AT) Services in Louisiana help individuals with disabilities and complex needs perform tasks they would otherwise be unable to accomplish due to physical, sensory, or cognitive impairments. These services are covered under specific Home and Community-Based Services (HCBS) waivers and are intended to increase independence, safety, and community participation.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office for Citizens with Developmental Disabilities (OCDD) & Office of Aging and Adult Services (OAAS)
Role: Administers waiver programs that authorize assistive technology services and defines eligibility criteria
Agency: Louisiana Medicaid / Medicaid Management Information System (MMIS)
Role: Handles provider enrollment, billing, and claims processing for AT providers
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight to ensure AT services meet HCBS standards under 1915(c) waivers
Agency: Managed Care Organizations (MCOs)** (for enrollees in Bayou Health)
Role: Authorize assistive technology purchases based on the participant’s Plan of Care (POC) and coordinate reimbursement
2. SERVICE OVERVIEW
Assistive Technology (AT) Services involve the assessment, acquisition, customization, delivery, and training related to devices that improve the functional capabilities of individuals with disabilities.
Examples of covered AT services:
Augmentative and alternative communication (AAC) devices
Environmental control units (e.g., voice-activated switches, remote-operated lighting)
Adaptive computer equipment or tablet-based tools
Specialized keyboards, mice, or screen readers
Sensory devices for individuals with autism or visual/hearing impairments
Mobility support tools not covered by Durable Medical Equipment (DME)
Adapted telephone systems or video relay tools
Device training for participants, family members, or caregivers
All AT services must be medically necessary, clearly linked to a functional limitation, and approved in the participant’s Plan of Care (POC) before delivery.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll as an Assistive Technology provider through the Louisiana Medicaid Provider Enrollment Portal
Maintain general liability insurance and any applicable warranties or vendor agreements
Employ or contract with certified Assistive Technology Professionals (ATP), occupational therapists (OTs), or speech-language pathologists (SLPs)
Develop an Assistive Technology Services Policy & Procedure Manual
Ensure HIPAA-compliant documentation, delivery logs, and device tracking systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through the Louisiana Medicaid Provider Enrollment Portal under the appropriate waiver program(s)
Step 2: Submit Documentation
Include business license, proof of insurance, staff credentials, sample cost estimates, and device tracking templates
Step 3: Secure Service Authorizations
Collaborate with the waiver case manager and clinicians (OT/SLP) for assessments
Submit itemized quotes to the MCO or LDH for review and authorization
Step 4: Deliver Services & Bill for Reimbursement
Order and deliver the approved device
Provide usage training and ensure proper documentation and receipts are submitted with billing
5. REQUIRED DOCUMENTATION
Louisiana Articles of Incorporation or business license
IRS EIN and NPI confirmation
Certificate of insurance
Assistive Technology Services Policy & Procedure Manual, including:
AT referral, evaluation, and justification forms
Cost estimate templates and authorization tracking logs
Delivery and setup confirmation records
Participant and caregiver training checklists
HIPAA consent and release forms
Equipment return, maintenance, and warranty policies
Medicaid billing logs and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Assistive Technology Professional (ATP)
Requirements: RESNA-certified preferred; experience with disability populations and AT device customization; background check clearance
Role: Occupational Therapist (OT) or Speech-Language Pathologist (SLP)
Requirements: Licensed in Louisiana; responsible for device evaluation, recommendation, and participant training
Role: AT Technician / Device Installer
Requirements: Experience with technology installation and troubleshooting; safety- and HIPAA-trained
All staff must complete:
HIPAA and participant confidentiality training
Person-Centered Planning (PCP) training
Medicaid billing compliance
Equipment safety, troubleshooting, and documentation protocols
7. MEDICAID PROGRAMS & HCBS WAIVERS
Assistive Technology Services are reimbursable under:
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Children’s Choice Waiver
Supports Waiver
Community Choices Waiver (CCW)
Money Follows the Person (MFP) (when transitioning from institutional care)
Delivery settings include:
Participant homes
Schools or workplaces (if needed for integration)
Community locations identified in the POC
8. TIMELINE TO LAUNCH
Phase: Business Formation and Policy Development
Timeline: 1–2 months
Phase: Louisiana Medicaid Enrollment
Timeline: 60–90 days
Phase: Staff Hiring, Vendor Setup, and Compliance Protocols
Timeline: 30–45 days
Phase: Participant Referrals and Device Authorizations
Timeline: Ongoing, based on MCO approval and clinical assessments
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA ASSISTIVE TECHNOLOGY PROVIDER
WCG helps technology vendors, rehab therapists, and nonprofits launch compliant Assistive Technology Services across Louisiana Medicaid programs.
Scope of Work:
Medicaid and waiver-specific provider enrollment
Development of Assistive Technology Policy & Procedure Manual
AT justification, delivery, and billing documentation templates
HIPAA-compliant forms, consent logs, and audit prep tools
Coordination strategies with OTs, SLPs, and case managers
Marketing outreach to waiver teams and pediatric/transition specialists
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN LOUISIANA
SUPPORTING EMOTIONAL WELL-BEING, RECOVERY, AND COMMUNITY CONNECTION THROUGH INDIVIDUALIZED MENTAL HEALTH AND SUBSTANCE USE SUPPORT
Behavioral Health Services in Louisiana help individuals with mental illness, emotional challenges, and substance use disorders receive comprehensive treatment in their communities. These services are delivered through Louisiana Medicaid Managed Care and approved providers under the direction of the Louisiana Department of Health (LDH) and its Office of Behavioral Health (OBH).
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Behavioral Health (OBH)
Role: Oversees behavioral health licensing, service scope, and quality assurance for Medicaid-funded mental health and substance use disorder services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures services align with HCBS and EPSDT Medicaid requirements
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: Authorize services under approved care plans, manage provider credentialing, and process billing and payments
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services offer clinical, rehabilitative, and support interventions to address psychiatric disorders, emotional disturbances, and substance use.
Approved providers may deliver:
Diagnostic evaluations and mental health assessments
Individual, family, and group therapy
Psychiatric medication management and counseling
Crisis response and stabilization services
Functional behavioral assessments and interventions
Community Psychiatric Support and Treatment (CPST)
Psychosocial Rehabilitation (PSR) services
Peer support and substance use recovery coaching
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain an EIN from the IRS and a Type 2 NPI
Secure a Behavioral Health Services License through the LDH Health Standards Section
Enroll with Louisiana Medicaid via the Medicaid Provider Enrollment Portal
Credential with Bayou Health MCOs (e.g., Aetna, AmeriHealth Caritas, Healthy Blue, LA Healthcare Connections, UHC)
Employ licensed mental health professionals and behavioral health staff
Maintain general liability and malpractice insurance
Ensure HIPAA compliance and clinical documentation procedures
4. PROVIDER ENROLLMENT PROCESS
Option A: Individual Practitioner (e.g., LCSW, LPC, LMFT)
Apply through the Louisiana Medicaid Provider Enrollment Portal
Submit proof of licensure, NPI, and insurance
Contract with MCOs to begin receiving referrals and reimbursement
Option B: Behavioral Health Agency
Apply for licensure with LDH Health Standards Section
Enroll with Medicaid and complete credentialing with each MCO
Submit agency documents, staffing plan, and service scope
Develop internal clinical protocols and staff supervision policies
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Sole Proprietorship filing
IRS EIN confirmation
NPI registration
LDH Behavioral Health license (for agencies)
Medicaid enrollment confirmation
Staff licensure and credentialing logs
Policy & Procedure Manual including:
Client intake and mental health assessment forms
Treatment planning and clinical progress note templates
Crisis intervention and suicide risk protocols
Medication administration logs (if applicable)
Staff supervision, documentation, and continuing education logs
Participant rights, HIPAA consent, and grievance procedures
Incident reporting and emergency contact procedures
6. STAFFING REQUIREMENTS
Role: Licensed Mental Health Professional (e.g., LCSW, LPC, Psychologist)
Requirements: Active Louisiana license, Medicaid-eligible, experience with clinical documentation
Role: Psychiatrist or Nurse Practitioner (optional for medication management)
Requirements: Active license and DEA registration; may prescribe and manage medications
Role: Peer Support Specialist / Behavioral Health Technician
Requirements: Certified or trained in behavioral health; supervised by licensed staff
Training Requirements for All Staff:
HIPAA and client confidentiality
Behavioral crisis response and de-escalation
Suicide prevention and mandated reporting
Trauma-informed care and cultural competency
Annual CEUs and compliance training
7. MEDICAID WAIVER & STATE PLAN SERVICES
Behavioral Health Services are reimbursed under:
Louisiana Medicaid State Plan (for all ages and diagnoses)
EPSDT (Early and Periodic Screening, Diagnostic, and Treatment)
HCBS Waivers (ROW, NOW, Supports Waiver, Children’s Choice Waiver) — for behavioral supports within the care plan
Money Follows the Person (MFP) — transitional behavioral care
Crisis services supported through regional or community-based funds
Approved providers may deliver:
In-clinic or in-home behavioral health therapy
Rehabilitation and skills training programs
Telehealth-based counseling (if approved)
Services coordinated with support coordinators and MCO care teams
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing
Timeline: 1–2 months
Phase: Medicaid and MCO Credentialing
Timeline: 60–90 days
Phase: Staff Hiring and Documentation Setup
Timeline: 2–4 weeks
Phase: Service Authorization and Delivery
Timeline: Ongoing, based on participant need and referrals
9. CONTACT INFORMATION
Louisiana Department of Health — Office of Behavioral Health (OBH)
Website: https://ldh.la.gov/page/86
LDH Health Standards Section (Licensing)
Website: https://ldh.la.gov/page/282
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana State Boards:
Social Workers: https://www.labswe.org
Counselors: https://www.lpcboard.org
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA BEHAVIORAL HEALTH PROVIDER
We help therapists, outpatient clinics, and recovery programs launch licensed and Medicaid-approved behavioral health services across Louisiana.
Scope of Work:
Business registration and LDH licensure guidance
Louisiana Medicaid enrollment and MCO credentialing
Behavioral Health Policy & Procedure Manual development
Clinical documentation templates for assessments, notes, and billing
Supervision and staff compliance tracking tools
Website and branding setup for service outreach
Referral coordination with hospitals, schools, and waiver case managers
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN LOUISIANA
ENHANCING ACCESSIBILITY AND SAFETY FOR INDEPENDENT LIVING THROUGH STRUCTURAL ADAPTATIONS
Home Modification Services in Louisiana offer vital support to individuals enrolled in Medicaid Home and Community-Based Services (HCBS) waivers by funding structural changes to their living environments. These modifications help individuals with disabilities, functional limitations, or chronic conditions live more independently, reduce falls and injuries, and avoid institutionalization.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Aging and Adult Services (OAAS) & Office for Citizens with Developmental Disabilities (OCDD)
Role: Administers HCBS waivers, sets clinical eligibility, and oversees waiver services, including environmental modifications
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Processes provider enrollment, billing, and reimbursement for approved home modification services
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight of waiver programs and ensures services meet HCBS regulatory standards
Agency: Managed Care Organizations (MCOs) (for those enrolled in Bayou Health managed care plans)**
Role: Authorize services under the participant’s Person-Centered Plan and coordinate payments
2. SERVICE OVERVIEW
Home Modification Services, also called Environmental Accessibility Adaptations (EAA) in Louisiana, are one-time physical adaptations made to a participant’s home to ensure it supports safety, mobility, and functional independence.
Covered modifications may include:
Wheelchair ramps and stair lifts
Roll-in showers, widened doors, grab bars, raised toilets
Lowered kitchen and bathroom counters and accessible sinks
Door widening and threshold removal
Non-slip flooring installation
Reinforced flooring for mobility equipment
Specialized electrical or plumbing adjustments required for medical equipment
Installation of handrails, transfer poles, and remote-controlled access systems
NOTE: Modifications must be included in the participant’s approved Plan of Care (POC) or Support Plan, deemed medically necessary, and authorized before implementation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain an IRS EIN and Type 2 NPI
Enroll as a Medicaid provider through Louisiana Medicaid’s Provider Enrollment Portal
Maintain general liability insurance and workers’ compensation coverage
Hire or contract with licensed contractors and/or accessibility professionals
Follow Louisiana building codes and ADA accessibility standards
Develop a Home Modification Services Policy & Procedure Manual
Implement HIPAA-compliant documentation and secure billing systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply as a Home Modification or Environmental Accessibility Adaptations provider via Louisiana Medicaid’s Provider Enrollment Portal
Choose waiver(s) to participate in (e.g., ROW, NOW, LT-PCS, CCW)
Step 2: Credentialing and Documentation Submission
Submit business licenses, insurance documents, contractor credentials, and internal operating procedures
Provide sample project estimates and documentation templates
Step 3: Participant Referrals and Service Authorization
Work with support coordinators to assess participant needs
Submit itemized cost estimate for LDH or MCO review and approval
Upon approval, complete modification and submit before/after photos, signed completion forms, and invoice for payment
5. REQUIRED DOCUMENTATION
Louisiana Articles of Incorporation or Business License
IRS EIN and Type 2 NPI documentation
Certificate of insurance (liability and workers’ comp)
Home Modification Services Policy & Procedure Manual, including:
Participant intake and accessibility assessment forms
Estimate and approval tracking logs
Contractor licenses and subcontractor agreements
Installation verification forms with photo documentation
ADA and Louisiana building code compliance checklists
HIPAA policies and participant consent forms
Service completion sign-off, billing, and audit documentation
6. STAFFING REQUIREMENTS
Role: Project Manager / Home Modification Coordinator
Requirements: Experience in housing accessibility or project oversight; knowledge of Medicaid documentation and ADA standards; background check clearance
Role: Licensed Contractor or Skilled Tradesperson
Requirements: Licensed in Louisiana for the relevant trade (e.g., general contracting, plumbing, electrical); liability insurance required
Role (optional): Occupational Therapist or Rehabilitation Specialist
Requirements: Louisiana license; contributes to functional assessments and environmental adaptation recommendations
All staff must complete:
HIPAA compliance and confidentiality training
Incident reporting and emergency safety protocols
Orientation on Medicaid billing and documentation standards
Accessibility, universal design, and ADA compliance best practices
7. MEDICAID PROGRAMS & HCBS WAIVERS
Home Modification Services are authorized under:
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Children’s Choice Waiver
Community Choices Waiver (CCW)
Long-Term Personal Care Services (LT-PCS) (in limited cases)
Service settings include:
Participant-owned or rented homes
Family homes where the participant resides
Transitional residences (if participant is relocating from an institution)
8. TIMELINE TO LAUNCH
Phase: Business Registration and Manual Development
Timeline: 1–2 months
Phase: Medicaid Enrollment and Documentation Submission
Timeline: 60–90 days
Phase: Vendor Partnerships and Safety Protocol Setup
Timeline: 30–45 days
Phase: Participant Referrals and Project Initiation
Timeline: Rolling, based on authorization and waiver-specific eligibility
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA HOME MODIFICATION PROVIDER
WCG assists contractors, rehab consultants, and accessibility-focused businesses in launching fully compliant Home Modification Services across Louisiana.
Scope of Work:
Louisiana Medicaid enrollment and credentialing support
Custom Home Modification Policy & Procedure Manual
Intake forms, ADA checklists, and estimate templates
Installation verification, consent, and invoice documentation
HIPAA, safety, and incident reporting protocols
Coordination tools for case managers and support coordinators
Referral outreach to waiver teams and transitional housing partners
Nursing Facility Transition
NURSING FACILITY TRANSITION SERVICES PROVIDER IN LOUISIANA
SUPPORTING THE SHIFT FROM INSTITUTIONAL CARE TO COMMUNITY LIVING WITH DIGNITY AND INDEPENDENCE
Nursing Facility Transition Services in Louisiana assist eligible Medicaid participants in moving from nursing homes or other institutional settings into community-based residences. These services are part of Louisiana’s Home and Community-Based Services (HCBS) waivers and federal initiatives like Money Follows the Person (MFP). The goal is to ensure that individuals have the necessary resources and coordination to successfully relocate to the least restrictive, most integrated setting possible.
1. GOVERNING AGENCIES
Agency: Louisiana Cabinet for Health and Family Services (CHFS) — Department for Medicaid Services (DMS)
Role: Oversees eligibility, waiver enrollment, and Medicaid funding for transition services
Agency: Louisiana Department for Aging and Independent Living (DAIL)
Role: Provides oversight, monitors transition activities, and ensures participant rights during the move
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Administers federal oversight and funding for transition programs like MFP
Agency: Managed Care Organizations (MCOs)
Role: Authorize transition services, coordinate provider reimbursement, and track outcomes
2. SERVICE OVERVIEW
Nursing Facility Transition Services are person-centered supports designed to help individuals plan and execute their move from institutional care to a private home or community-based residence.
Covered transition services include:
Transition planning and readiness assessments
Coordination with case managers, facility discharge teams, and family members
Identification and securing of housing and supports
Development of a Person-Centered Service Plan (PCSP) for post-transition care
Assistance with arranging home modifications, community supports, and service authorizations
Moving logistics and household setup (may overlap with Community Transition Services)
Short-term follow-up to ensure stability and safety
Transitions must be voluntary, and the individual must meet the criteria for HCBS waiver eligibility.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll through the Medicaid Partner Portal Application (MPPA)
Maintain liability and workers’ compensation insurance
Employ Transition Coordinators or case managers with experience in community integration
Develop a Nursing Facility Transition Policy & Procedure Manual
Ensure HIPAA-compliant documentation and participant tracking systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment via MPPA
Apply as a provider of Nursing Facility Transition or Community Transition Coordination under applicable waivers
Identify intended geographic service areas and targeted populations
Step 2: MCO Credentialing
Complete enrollment with MCOs managing Medicaid waiver services in your region
Step 3: Documentation Submission
Submit business license, insurance, staffing credentials, and transition protocols
Step 4: Begin Services Post Authorization
Receive participant referral
Develop transition plan with the waiver case manager and participant
Coordinate all pre-discharge and post-move supports
Submit documentation and invoices for approved services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Louisiana business license
IRS EIN and NPI verification
Proof of liability and worker’s comp insurance
Nursing Facility Transition Policy & Procedure Manual, including:
Participant intake and housing readiness assessment
Transition timeline and service tracking logs
Coordination forms with case managers, discharge planners, and MCOs
Consent forms, HIPAA policies, and safety protocols
Housing resource tools and stabilization follow-up checklists
Medicaid billing logs and service outcome documentation
Critical incident response and participant feedback forms
6. STAFFING REQUIREMENTS
Role: Transition Coordinator / Community Integration Specialist
Requirements: Experience in case management, housing navigation, or disability support services; background check; transportation capability preferred
Role (optional): Peer Support Specialist
Requirements: Trained in participant advocacy and post-transition support
All staff must complete:
HIPAA and participant confidentiality training
Person-Centered Planning and waiver compliance education
Abuse, neglect, and exploitation prevention protocols
Transition planning, emergency response, and housing stability training
Ongoing professional development in community-based long-term services and supports (LTSS)
7. MEDICAID PROGRAMS & HCBS WAIVERS
Nursing Facility Transition Services are available through:
Supports for Community Living (SCL) Waiver
Michelle P. Waiver (MPW)
Acquired Brain Injury (ABI & ABI-LTC) Waivers
Home and Community Based (HCB) Waiver
Money Follows the Person (MFP) — federal program that funds transition efforts
Service delivery settings include:
Participant’s current nursing facility (for discharge planning)
Community-based homes or apartments (for follow-up services)
Coordination offices and virtual meetings
8. TIMELINE TO LAUNCH
Phase: Business Registration and Manual Development
Timeline: 1–2 months
Phase: MPPA Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Staff Hiring and Documentation Setup
Timeline: 1 month
Phase: Service Launch Based on Waiver and MFP Referrals
Timeline: Ongoing
9. CONTACT INFORMATION
Louisiana Department for Medicaid Services (DMS)
Website: https://chfs.ky.gov/agencies/dms
Medicaid Provider Enrollment (MPPA): https://mppa.ky.gov
Louisiana Department for Aging and Independent Living (DAIL)
Website: https://chfs.ky.gov/agencies/dail
Money Follows the Person Program (KY MFP)
Website: https://chfs.ky.gov/agencies/dms/dca
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA NURSING FACILITY TRANSITION PROVIDER
WCG helps Medicaid providers, nonprofits, and community housing teams launch transition programs that align with waiver and MFP goals across Louisiana.
Scope of Work:
MPPA Medicaid enrollment and MCO credentialing
Transition Policy & Procedure Manual development
Intake forms, assessment tools, and discharge planning templates
Coordination protocols with nursing facilities, housing agencies, and waiver teams
HIPAA and billing documentation setup
Post-transition stabilization tools and reporting templates
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN LOUISIANA
COORDINATING CARE, SERVICES, AND SUPPORT SYSTEMS TO PROMOTE WELL-BEING AND COMMUNITY LIVING
Case Management Services in Louisiana help individuals enrolled in Medicaid and waiver programs access the care and resources they need to live independently. Case managers work directly with participants, families, providers, and state agencies to assess needs, develop individualized care plans, and coordinate service delivery across health, behavioral, and social domains.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Aging and Adult Services (OAAS) & Office for Citizens with Developmental Disabilities (OCDD)
Role: Oversees waiver case management guidelines, assigns support coordination agencies, and ensures compliance with person-centered planning
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures case management complies with 1915(c) waiver and person-centered service planning requirements
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Manages enrollment and reimbursement for case management billing
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: Coordinate with case managers for referrals, authorizations, and data reporting (in specific programs)
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management (also called Support Coordination) is a comprehensive, person-centered service that includes:
Functional needs assessments and goal setting
Individualized Service Plan (ISP) or Plan of Care (POC) development
Referral to home and community-based services (HCBS)
Coordination with physicians, therapists, and providers
Monitoring of service delivery and participant satisfaction
Critical incident reporting and service plan revision
Advocacy and assistance with transitions (e.g., institutional discharge)
Approved providers support participants in:
Residential Options Waiver (ROW)
Supports Waiver
New Opportunities Waiver (NOW)
Children’s Choice Waiver
Community Choices Waiver (limited case management components)
EPSDT and transition support (for youth aging out of services)
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Medicaid as a Case Management or Support Coordination provider via the Louisiana Medicaid Provider Enrollment Portal
Apply for waiver-specific designation with LDH (OAAS or OCDD)
Maintain general liability and professional insurance
Employ qualified case managers (e.g., social workers, counselors, or human services staff with experience)
Develop a Case Management Services Policy & Procedure Manual
Ensure HIPAA-compliant documentation and coordination systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business and Medicaid Enrollment
Apply through https://www.lamedicaid.com
Submit business documents, staffing plan, and organizational structure
Step 2: Waiver-Specific Approval
Submit an application to LDH OAAS or OCDD to become an approved support coordination agency
Complete background checks, staff credentialing, and service protocols
Step 3: Staff Training and Manual Development
Train staff on person-centered planning, critical incident protocols, and waiver service standards
Implement care planning and documentation tools
Step 4: Referrals and Service Delivery
Receive participant assignments from LDH or MCOs
Begin assessments, service planning, and documentation per waiver rules
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietorship filing
IRS EIN and NPI documentation
LDH case management designation or waiver program approval
Certificates of insurance
Case Management Services Policy & Procedure Manual, including:
Intake and person-centered planning templates
ISP/POC development forms and service tracking logs
Referral logs and interdisciplinary team coordination forms
Critical incident and grievance reporting policies
Participant rights and informed consent forms
Monthly monitoring and reassessment schedules
Documentation, quality assurance, and billing templates
6. STAFFING REQUIREMENTS
Role: Case Manager / Support Coordinator
Requirements: Bachelor’s degree in social work, psychology, or a related field; 1–2 years’ experience with individuals with disabilities or aging adults; background check clearance
Role: Clinical Supervisor (required for agency model)
Requirements: Licensed social worker or mental health professional; responsible for supervision, service review, and compliance
Training Requirements for All Staff:
HIPAA and participant confidentiality
Person-Centered Planning and waiver rules
Abuse/neglect reporting and incident protocols
Cultural competency and disability rights
Medicaid billing documentation and audit readiness
7. MEDICAID WAIVER & TRANSITION SERVICES
Case Management Services are authorized and reimbursed under:
Residential Options Waiver (ROW)
Supports Waiver
Children’s Choice Waiver
New Opportunities Waiver (NOW)
Community Choices Waiver (limited case management functions)
EPSDT and Money Follows the Person (MFP) transition supports
Approved providers may deliver:
In-home assessments and service coordination
Ongoing case monitoring and documentation
Plan updates and annual reassessments
Coordination of transportation, therapy, home modifications, or direct care services
Transition assistance from institutional care to home/community settings
8. TIMELINE TO LAUNCH
Phase: Business Registration and Staff Hiring
Timeline: 1–2 months
Phase: Medicaid Enrollment and Waiver Approval
Timeline: 60–90 days
Phase: Policy Manual and System Setup
Timeline: 3–4 weeks
Phase: Participant Assignment and Service Delivery
Timeline: Ongoing, based on LDH referrals and waiver enrollment
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA CASE MANAGEMENT PROVIDER
We help qualified professionals and agencies launch Medicaid-approved case management services for Louisiana HCBS waiver participants.
Scope of Work:
Medicaid enrollment and waiver designation process
Policy & Procedure Manual development for service coordination
Intake and care planning templates
Compliance checklists for documentation, billing, and audit prep
Staff training logs and credentialing support
Referral outreach and LDH partnership strategies
Adult Day Health Services
ADULT DAY HEALTH SERVICES PROVIDER IN LOUISIANA
SUPPORTING HEALTH, SOCIALIZATION, AND INDEPENDENT LIVING FOR ADULTS IN COMMUNITY-BASED SETTINGS
Adult Day Health Services (ADHS) in Louisiana provide structured, community-based programs that offer medical supervision, therapeutic activities, personal care, and social engagement for adults with physical, cognitive, or behavioral health needs. These services help delay or prevent institutionalization by giving participants the support they need during the day while allowing them to live at home or with family caregivers.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Aging and Adult Services (OAAS)
Role: Administers Medicaid waiver programs that fund adult day health services and monitors provider compliance
Agency: Health Standards Section (HSS) of LDH
Role: Licenses and inspects Adult Day Health Care facilities to ensure compliance with state health and safety standards
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Processes enrollment, claims, and reimbursement for approved ADHS providers
Agency: Managed Care Organizations (MCOs)**
Role: Authorize services under a participant’s Plan of Care (POC), coordinate service delivery, and manage claims processing
2. SERVICE OVERVIEW
Adult Day Health Services are center-based, medically supervised day programs that provide:
Nursing services (e.g., medication administration, health monitoring)
Assistance with Activities of Daily Living (ADLs) such as toileting and grooming
Structured recreational and therapeutic activities
Nutritional support, including meals and snacks
Social services and caregiver support
Physical, occupational, or speech therapies (as authorized)
Transportation to and from the day center (if required and approved)
ADHS must be delivered according to a Plan of Care developed by the participant, case manager, and care team, and overseen by licensed health professionals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain an IRS EIN and Type 2 NPI
Secure Adult Day Health Care (ADHC) Facility Licensure from the LDH Health Standards Section
Enroll as a Medicaid provider through the Louisiana Medicaid Provider Enrollment Portal
Maintain liability and malpractice insurance
Hire licensed nurses, direct care staff, and activity coordinators
Develop an Adult Day Health Services Policy & Procedure Manual
Implement HIPAA-compliant EHR, scheduling, and billing systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: ADHC Facility Licensure
Apply to the LDH Health Standards Section
Undergo inspection of facility design, safety systems, staffing, and service plans
Step 2: Medicaid Provider Enrollment
Apply through the Louisiana Medicaid Provider Enrollment Portal
Submit facility licensure, business documents, and staffing plans
Step 3: MCO Credentialing
Enroll with Louisiana’s Medicaid MCOs to receive referrals and billing access
Step 4: Participant Referrals and Plan of Care Coordination
Coordinate with waiver case managers and health teams
Begin service delivery after authorization and intake assessments
5. REQUIRED DOCUMENTATION
Louisiana ADHC Facility License
Articles of Incorporation and IRS EIN confirmation
NPI registration and Medicaid enrollment confirmation
Insurance certificates (liability, workers’ comp, and malpractice)
Adult Day Health Services Policy & Procedure Manual, including:
Intake assessments, care plans, and daily progress notes
Medication administration records (MARs)
Staff schedules, training logs, and supervision notes
Activity and meal planning logs
Incident reporting, safety protocols, and emergency procedures
Transportation consent and route logs (if applicable)
HIPAA compliance and participant rights documentation
Billing templates, attendance logs, and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN) or Licensed Practical Nurse (LPN)
Requirements: Licensed in Louisiana; responsible for health assessments, medication administration, and clinical oversight
Role: Direct Support Worker (DSW) or CNA
Requirements: Certified and trained in ADLs, safety, and behavioral support
Role: Program/Activity Coordinator
Requirements: Experience in group facilitation, recreational therapy, or adult education
Role: Administrator / Program Director
Requirements: Supervisory and regulatory compliance experience; background check; familiarity with HCBS waivers and LDH licensure rules
All staff must complete:
HIPAA training and confidentiality agreements
Abuse, neglect, and exploitation prevention
Infection control and emergency response procedures
Annual continuing education and licensure tracking
7. MEDICAID PROGRAMS & HCBS WAIVERS
Adult Day Health Services are covered under:
Community Choices Waiver (CCW)
Program of All-Inclusive Care for the Elderly (PACE) (in some regions)
Long-Term Personal Care Services (LT-PCS) (supportive overlaps, not primary coverage)
MCO-authorized supplemental day programs (under Plan of Care)
Service delivery setting: Licensed Adult Day Health Care (ADHC) facility only — must meet state regulatory requirements.
8. TIMELINE TO LAUNCH
Phase: Business Registration and Facility Setup
Timeline: 2–4 months
Phase: ADHC Licensure and Medicaid Enrollment
Timeline: 3–6 months (depending on inspection readiness)
Phase: MCO Credentialing and Staff Onboarding
Timeline: 1–2 months
Phase: Participant Intake and Service Launch
Timeline: Rolling, based on referrals and POC authorizations
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
LDH Health Standards Section (ADHC Licensure)
Website: https://ldh.la.gov/page/282
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA ADULT DAY HEALTH PROVIDER
WCG supports community leaders, nurse entrepreneurs, and nonprofit organizations in launching licensed and Medicaid-credentialed Adult Day Health programs across Louisiana.
Scope of Work:
ADHC licensure preparation, facility readiness, and inspection support
Medicaid enrollment and MCO credentialing
ADHS Policy & Procedure Manual development
Intake forms, staffing templates, and daily note systems
HIPAA-compliant scheduling, attendance, and billing tools
Program design support for person-centered day activities and health monitoring
Outreach and referral development with case managers and elder care networks
Transportation Assistance
TRANSPORTATION ASSISTANCE SERVICES PROVIDER IN LOUISIANA
ENABLING ACCESS TO HEALTHCARE, COMMUNITY ACTIVITIES, AND DAILY NEEDS THROUGH RELIABLE NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)
Transportation Assistance Services in Louisiana provide non-emergency rides for Medicaid participants to access medical appointments, waiver services, and essential community supports. These services reduce isolation, ensure continuity of care, and promote independent living for individuals who cannot drive or safely use public transportation due to age, disability, or medical need.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Bureau of Health Services Financing (BHSF)
Role: Oversees the Medicaid State Plan transportation benefit and waiver-based transportation assistance
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: Coordinate and authorize non-emergency transportation services, manage scheduling vendors, and process claims
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Manages Medicaid provider enrollment, billing, and payment processing
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight to ensure transportation services comply with Medicaid access and equity standards
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Assistance, also known as Non-Emergency Medical Transportation (NEMT) or Waiver Transportation, includes scheduled, door-to-door rides to:
Doctor’s appointments, clinics, and therapy sessions
Waiver day programs or service locations (e.g., adult day health, employment support)
Pharmacies, labs, or medical supply centers
Community integration and waiver-based skill-building activities
Transitional appointments (e.g., housing, employment, mental health support)
Approved providers may deliver:
Ambulatory transport (standard vehicles)
Wheelchair-accessible van service
Curb-to-curb or door-to-door assistance
Scheduling, coordination, and mileage tracking
Escort and wait-time services (when approved)
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Louisiana Medicaid as a transportation provider via the Medicaid Provider Enrollment Portal
Complete credentialing with MCO transportation brokers (e.g., Modivcare)
Hold valid Louisiana Commercial Vehicle Insurance
Maintain a Non-Emergency Medical Transportation Permit (issued by LDH or local regulatory body)
Ensure all vehicles are ADA-compliant (for wheelchair services)
Implement a Transportation Policy & Procedure Manual and trip documentation system
Comply with HIPAA and participant safety guidelines
4. PROVIDER ENROLLMENT PROCESS
Option A: NEMT Provider (for State Plan or MCO Rides)
Apply through https://www.lamedicaid.com
Credential with MCO transportation vendor (e.g., Modivcare, OneCall)
Submit fleet, driver, and insurance documentation
Option B: Waiver Transportation Provider
Enroll under the applicable HCBS waiver
Submit policies and driver credentialing documentation
Coordinate authorizations through support coordinators or MCO waiver care teams
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietorship filing
IRS EIN and NPI confirmation
Proof of commercial auto and liability insurance
Driver licenses and background check documentation
ADA certification (if applicable)
Transportation Services Policy & Procedure Manual, including:
Trip logs and mileage documentation templates
Vehicle maintenance records
Participant consent and service agreements
Emergency preparedness and safety checklists
Incident reporting and complaint procedures
Staff training logs and time sheets
Billing logs and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Transportation Driver
Requirements: Valid Louisiana driver’s license; clean driving record; background check and drug screening; trained in CPR/First Aid (recommended); knowledgeable in ADA assistance
Role: Dispatcher or Scheduler (optional for agencies)
Requirements: Experience with scheduling software, Medicaid compliance, and communication with participants and care teams
Training Requirements for All Staff:
Defensive driving and vehicle safety
HIPAA and confidentiality
Assisting riders with disabilities or mobility needs
Emergency response and evacuation procedures
Documentation and timekeeping compliance
7. MEDICAID WAIVER & TRANSPORTATION PROGRAMS
Transportation Assistance Services are reimbursed under:
Louisiana Medicaid Non-Emergency Medical Transportation (NEMT)
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Children’s Choice Waiver
Community Choices Waiver (CCW)
EPSDT and Money Follows the Person (MFP) for transition rides
Approved services include:
Single or recurring medical trip authorizations
Mileage reimbursement (for self-arranged transporters)
Vehicle-based service billing through MCOs
Documentation aligned with care plans and authorization guidelines
8. TIMELINE TO LAUNCH
Phase: Business Registration and Vehicle Setup
Timeline: 2–3 weeks
Phase: Medicaid Enrollment and MCO Broker Credentialing
Timeline: 60–90 days
Phase: Driver Hiring and Policy Manual Development
Timeline: 2–4 weeks
Phase: Trip Authorization and Service Launch
Timeline: Ongoing, based on referral or MCO ride assignment
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health – Transportation Services
Website: https://ldh.la.gov
Modivcare (Transportation Vendor for Many MCOs)
Website: https://www.modivcare.com
Louisiana Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA TRANSPORTATION PROVIDER
WCG helps transportation agencies, ride services, and community-based startups launch Medicaid-approved Transportation Assistance services across Louisiana.
Scope of Work:
Business registration and Medicaid enrollment
Credentialing with MCOs and NEMT brokers
Transportation Policy & Procedure Manual development
Trip log templates, incident reports, and billing documentation
HIPAA-compliant intake forms and scheduling systems
Driver onboarding, credentialing logs, and safety training support
Referral networking with waiver support coordinators and discharge planners
Home Health Care
HOME HEALTH CARE SERVICES PROVIDER IN LOUISIANA
DELIVERING CLINICAL CARE, THERAPY, AND PERSONAL SUPPORT IN THE COMFORT OF EACH PARTICIPANT’S HOME
Home Health Care Services in Louisiana provide skilled nursing, therapy, and aide services to Medicaid participants with acute or chronic health conditions. These services enable individuals to receive medical and rehabilitative care at home, reducing the need for hospital or nursing facility admissions, and supporting recovery, stability, and independence.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Health Standards Section
Role: Licenses and regulates home health agencies; ensures quality of care and survey compliance
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Manages Medicaid provider enrollment, reimbursement, and claims processing
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Oversees compliance with federal home health regulations, especially for dual Medicare/Medicaid providers
Agency: Managed Care Organizations (MCOs) under Bayou Health
Role: Authorize Medicaid State Plan home health services and coordinate care under waiver programs
2. HOME HEALTH CARE SERVICE OVERVIEW
Home Health Services include medically necessary clinical and supportive care provided by a licensed team in the participant’s home under a physician’s order and Plan of Care (POC).
Approved services may include:
Skilled Nursing (e.g., wound care, IV therapy, disease management)
Home Health Aide services (e.g., bathing, grooming, ambulation)
Physical, Occupational, and Speech Therapy
Medical Social Work
Medication administration and monitoring
Care coordination and chronic disease education
Telehealth monitoring (if authorized)
All services must be documented in the physician-approved POC and meet the participant’s medical necessity criteria.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Apply for Home Health Agency Licensure through LDH Health Standards Section
Enroll with Louisiana Medicaid via the Medicaid Provider Enrollment Portal
Maintain general and professional liability insurance
Hire licensed clinicians and certified aides
Implement a Home Health Care Policy & Procedure Manual
Use HIPAA-compliant electronic health record (EHR) and documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: State Licensure
Apply for a Home Health Agency License via LDH
Undergo inspection and readiness review
Submit staffing plan, emergency protocols, and infection control measures
Step 2: Medicaid Enrollment
Complete provider application at https://www.lamedicaid.com
Submit business, licensure, staff credentialing, and policy documentation
Step 3: MCO Credentialing
Contract with Bayou Health MCOs to serve Medicaid members under managed care
Step 4: Service Launch Upon Authorization
Receive referrals and physician orders
Begin in-home care, maintain documentation, and submit claims
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business license
IRS EIN and NPI confirmation
LDH Home Health Agency License
Certificates of general and professional liability insurance
Home Health Care Policy & Procedure Manual, including:
Nursing assessment and care plan templates
Home health aide assignment sheets
Therapy visit logs and outcome tracking
Medication administration records (MARs)
Emergency protocols and infection control plans
Participant consent and rights forms
Incident reporting logs and clinical supervision records
Medicaid billing and audit-prep documentation
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Requirements: Active Louisiana license, CPR certification, clinical experience
Role: Home Health Aide (HHA)
Requirements: State certification, background check, training in ADLs and infection control
Role: Physical / Occupational / Speech Therapist
Requirements: Louisiana license in appropriate discipline; therapy experience in home-based care
Role: Administrator / Clinical Director
Requirements: RN or healthcare manager with home health leadership experience
Training Requirements for All Staff:
HIPAA and confidentiality
Infection control and PPE usage
Abuse/neglect prevention
Clinical documentation and billing practices
Annual competencies and in-service trainings
7. MEDICAID PROGRAMS & HOME HEALTH WAIVER SERVICES
Home Health Care is reimbursed under:
Louisiana Medicaid State Plan (for eligible medical home care services)
Community Choices Waiver (CCW) — for elderly and disabled adults
Residential Options Waiver (ROW) and NOW Waiver — for individuals with I/DD (via skilled or nursing support services)
EPSDT Home Health (for children) — covering nursing, therapy, and aide services under age 21
Money Follows the Person (MFP) — for transitional care and discharge planning
Approved services may include:
Short-term recovery care or chronic condition management
Coordinated therapy for rehabilitation goals
Preventative support and family caregiver training
Post-hospital discharge follow-up
8. TIMELINE TO LAUNCH
Phase: Business Registration and Facility Prep
Timeline: 2–4 weeks
Phase: State Home Health Licensure Process
Timeline: 90–120 days
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Staff Hiring, Training, and EHR Setup
Timeline: 1 month
Phase: Referrals and Care Plan Authorizations
Timeline: Rolling, based on provider network status and POC approval
9. CONTACT INFORMATION
Louisiana Department of Health — Health Standards Section (Licensure)
Website: https://ldh.la.gov/page/282
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Louisiana State Board of Nursing
Website: https://www.lsbn.state.la.us
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA HOME HEALTH CARE PROVIDER
We support RNs, clinicians, and home care agencies in launching fully licensed and Medicaid-approved Home Health Care services across Louisiana.
Scope of Work:
LDH Home Health Licensure and Medicaid enrollment
Home Health Policy & Procedure Manual development
Clinical documentation templates, MARs, and Plan of Care tools
Staff credentialing checklists and training logs
EHR setup support and audit-ready systems
Referral strategy with hospitals, MCOs, and discharge planners
Meal & Nutrition Services
MEAL AND NUTRITION SERVICES PROVIDER IN LOUISIANA
SUPPORTING HEALTH, WELLNESS, AND INDEPENDENCE THROUGH MEDICALLY TAILORED MEALS AND DIETARY EDUCATION
Meal and Nutrition Services in Louisiana provide eligible Medicaid waiver participants with access to nutritionally balanced meals, specialized dietary supports, and food-related education. These services are designed to help individuals maintain their health, manage chronic conditions, and remain safely in their homes or community settings, reducing the risk of hospitalization or institutional care.
1. GOVERNING AGENCIES
Agency: Louisiana Department of Health (LDH) — Office of Aging and Adult Services (OAAS) & Office for Citizens with Developmental Disabilities (OCDD)
Role: Administers HCBS waivers and defines eligibility and service coverage criteria for nutrition services
Agency: Medicaid Management Information System (MMIS) / Molina Medicaid Solutions
Role: Manages provider enrollment, claims submission, and reimbursement processes
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight to ensure nutrition-related services meet HCBS waiver requirements
Agency: Managed Care Organizations (MCOs)** (under Bayou Health for applicable enrollees)
Role: Authorize meals and nutritional support services through the participant’s Plan of Care (POC)
2. SERVICE OVERVIEW
Meal and Nutrition Services offer in-home meal delivery, nutritional counseling, and education to participants who are at nutritional risk or unable to prepare balanced meals due to disability, aging, or medical conditions.
Approved services may include:
Home-delivered meals (daily, weekly, or as prescribed)
Medically tailored meals (e.g., for diabetes, renal disease, swallowing difficulties)
Meal planning and menu customization based on the participant’s dietary restrictions
Nutrition education for participants and caregivers
Consultation with Registered Dietitians (RDs) or Nutritionists
Monitoring of nutritional status and support for weight management or malnutrition prevention
All services must be medically necessary and reflected in the participant’s Plan of Care, with physician referral or dietitian assessment as applicable.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Louisiana Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll as a provider via the Louisiana Medicaid Provider Enrollment Portal
Maintain food service operation certification through the Louisiana Department of Health – Sanitarian Services
Maintain general liability and food handling insurance
Employ or contract with a Licensed Dietitian/Nutritionist (LDN) or Registered Dietitian Nutritionist (RDN)
Develop a Meal and Nutrition Services Policy & Procedure Manual
Ensure HIPAA-compliant data tracking and delivery documentation systems
4. LOUISIANA PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply under service categories for Home-Delivered Meals, Nutrition Counseling, or Specialized Medical Supports as applicable by waiver
Step 2: Submit Documentation
Provide food safety certificates, business license, insurance, sample menus, and staffing credentials
Step 3: Credentialing with MCOs or Waiver Teams
Complete enrollment with Louisiana Medicaid MCOs (if applicable), or coordinate with waiver case managers
Step 4: Begin Services Upon Authorization
Review participant dietary needs
Deliver meals or initiate education sessions
Document all services and submit claims based on approved units
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Louisiana business license
IRS EIN and NPI confirmation
Proof of insurance (general liability, food service liability)
LDH Food Establishment permit and sanitation inspection report
Meal and Nutrition Services Policy & Procedure Manual, including:
Intake and nutrition risk screening tools
Sample menus with dietary labeling
Delivery schedules and confirmation forms
Participant dietary goals and tracking logs
HIPAA-compliant nutrition consultation forms
Staff credentials and continuing education logs
Emergency meal delivery protocol and food safety procedures
Billing logs and audit-ready service records
6. STAFFING REQUIREMENTS
Role: Registered Dietitian Nutritionist (RDN) / Licensed Dietitian (LDN)
Requirements: Louisiana license; responsible for assessments, menu planning, participant education, and documentation
Role: Food Service Manager / Kitchen Coordinator
Requirements: Certified in food safety; experience with mass meal prep, storage, and delivery logistics
Role: Delivery Staff / Nutrition Aide
Requirements: Trained in food handling and participant confidentiality; background check clearance
All staff must complete:
HIPAA and participant rights training
Food safety and infection control protocols
Documentation and emergency response training
Annual continuing education in nutrition or food service management
7. MEDICAID PROGRAMS & HCBS WAIVERS
Meal and Nutrition Services are covered under:
Community Choices Waiver (CCW)
Residential Options Waiver (ROW)
New Opportunities Waiver (NOW)
Supports Waiver
Children’s Choice Waiver (nutrition counseling and caregiver training)
May also support Money Follows the Person (MFP) transitions
Delivery settings include:
Participant’s home
Adult day health centers or community sites (as applicable)
Virtual education or tele-nutrition sessions (with prior approval)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing
Timeline: 1–2 months
Phase: Food Service Certification and Medicaid Enrollment
Timeline: 60–90 days
Phase: Staff Hiring and Menu Development
Timeline: 30–45 days
Phase: Participant Referrals and Program Launch
Timeline: Rolling, based on authorization and dietary assessments
9. CONTACT INFORMATION
Louisiana Medicaid Provider Enrollment Portal
Website: https://www.lamedicaid.com
Louisiana Department of Health – Food Safety Section
Website: https://ldh.la.gov/page/658
Louisiana Department of Health (LDH)
Website: https://ldh.la.gov
Office for Citizens with Developmental Disabilities (OCDD)
Website: https://ldh.la.gov/page/121
Office of Aging and Adult Services (OAAS)
Website: https://ldh.la.gov/page/119
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — LOUISIANA MEAL & NUTRITION PROVIDER
WCG helps nutritionists, home health agencies, and food service companies launch compliant and impactful Meal & Nutrition Services across Louisiana.
Scope of Work:
Medicaid enrollment and waiver-specific credentialing
Policy & Procedure Manual for meal services, nutrition education, and documentation
Menu planning templates, intake forms, and dietary tracking logs
HIPAA-compliant delivery documentation and consent forms
Food safety guidance and emergency meal protocols
Referral tools for waiver teams and chronic care partners
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.