State Profile · Deep
LOUISIANA
D+Last verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN LOUISIANA
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
30 days from your Notice of Adverse Benefit Determination (MCO); decision notice (FFS)
Keep services during appeal
File within 10 days
- Managed care (Healthy Louisiana, most HCBS): MCO internal appeal within 60 days of the Notice of Adverse Benefit Determination
- State Fair Hearing with DAL within 120 days of the MCO's notice of appeal resolution; FFS/direct-LDH actions: fair hearing within 30 days of the decision notice
KEY AGENCIES & RESOURCES
Medicaid Waiver Intake
Louisiana Office for Citizens with Developmental Disabilities (OCDD)
Family-to-Family Health Center
Families Helping Families resource centers (statewide network)
NOTABLE WAIVERS
New Opportunities Waiver (NOW)
SourcePeople with developmental disabilities needing comprehensive supports.
Waitlist: Louisiana replaced first-come lists with urgency-of-need screening (SUN) — request a screening update after any change.
Children's Choice Waiver
SourceChildren with developmental disabilities; capped budget.
Waitlist: Offered via urgency screening.
Residential Options Waiver (ROW)
SourcePeople with DD needing residential-level supports.
Waitlist: Urgency-of-need based.
Community Choices Waiver
SourceSeniors and adults with physical disabilities.
Waitlist: Apply through Louisiana Options in Long Term Care.
