LAC 48:I.5012. Change in License by Addition or Deletion of a Service Module or Modules from the HCBS License

A. Addition of a Service Module or Modules to existing HCBS License 1. An HCBS provider with an active HCBS license, current and in good standing, may submit a request to add a service module or modules. The following information shall be submitted for consideration of this request: a. a completed HCBS license application which has “Add a Service” clearly marked; b. a facility need review approval letter, if seeking to add the PCA, SIL, MIHC, or respite service modules; and c. applicable fee for issuance of the new HCBS license. B. Deletion of a Service Module or Modules to existing HCBS License 1. An HCBS provider with an active HCBS license may submit a request to delete a service module or modules. The following information shall be submitted for consideration of this request: a. a completed HCBS license application which has “Delete a Service” clearly marked; and b. applicable fee for issuance of the new HCBS license.