Modernizing Louisiana's IDD & OAAS Programs: Real-Time Care Intelligence
Recent Legislative Audits cited neglect and abuse accountability gaps, attributing them to a "lack of systems infrastructure". Today, fewer than 50% of Louisiana IDD recipients receive services according to their Plan of Care. EVV proves attendance — it does not prove care delivery.
The Louisiana Coalition for Disability Services Accountability — representing Easterseals Louisiana, Gulf Coast Social Services, and Cura OS — has deployed the state's largest provider-driven quality initiative. Backed by $6 million in private investment, this operational infrastructure is already transforming care across the state.
Active Footprint
Operating Today Across
All 9 LGE Regions
This is not a concept — it is Louisiana innovation already serving thousands of citizens. It provides the infrastructure needed to support LDH's "One Door" initiative and OAAS's rebalancing mandates.
35+
Provider agencies actively using the platform across all Louisiana Medicaid regions
3,300+
Beneficiaries across IDD, aging, and personal care populations
9/9
Louisiana Medicaid regions with active deployments — full statewide coverage
The Evidence
Closing the 50% Service Gap
at the Point of Care
We analyzed thousands of Support Plans and Progress Notes. A representative example — a 62-year-old Louisiana NOW waiver recipient with profound ID, asthma, and a severe shellfish allergy — revealed zero condition-specific observations or allergy checks over three months. Here is how Plan-Driven Service Validation changes the reality on the ground:
Today's Reality
The Problem
"Good — because he's smiling"
Copied across every shift. No clinical basis.
"No issues today"
Zero condition-specific observations for asthma or allergy.
"I gave him his meds"
No individual medication verification. No timestamp.
With Cura OS
The Solution
Structured wellness assessment: respiratory, cardiovascular, pain, and mental status — completed at every shift.
Plan-driven prompts tied to individual health profile.
Voice-guided clinical prompts: "Any wheezing, breathing changes, dizziness today?" — triggered by asthma and allergy conditions.
Condition-specific observations generated automatically.
Timestamped medication verification: each medication verified by name with exact timestamp and DSP attestation.
Individual audit trail for every administration event.
Financial Stewardship
Validating the Investment:
A 12x to 19.8x ROI
LDH recently released a rate study recommending $103.4M in annual OCDD increases. The proposed Cura OS pilot is the only mechanism available to measure whether those rate increases actually translate to improved outcomes.
The Pilot Proposal
~$3M
18–24 month investment
A bounded investment to demonstrate statewide infrastructure under LDH oversight — the only mechanism to validate whether Louisiana's rate increases translate to measurable care improvements.
Projected Annual Value to Louisiana
$16M – $27M
$6.8M – $10.1M
Avoided institutionalizations through early warning and placement prevention.
$5M – $8M
Healthcare utilization reduction by monitoring the "Fatal 5" — aspiration, dehydration, constipation, seizures, sepsis.
$4M – $6M
DSP workforce stabilization and retention through structured tools and reduced administrative burden.
$3M – $6M
PERM error avoidance and fraud prevention through real-time service delivery validation.
Critical Capabilities
Built for Louisiana's Unique
Structural Requirements
Emergency Evacuation Tracking
Real-time GPS location and status tracking during hurricanes — ensuring vulnerable beneficiaries are accounted for when manual methods fail.
OAAS Rebalancing Support
Community placement saves significant expense compared to nursing facility beds. Cura OS provides the transparent operational evidence needed to safely transition medically complex populations to lower-cost waivers.
Multi-Agency Incident Routing
Automated capture and routing of neglect/abuse incidents to proper authorities (LDH, CPS, EPS) with a complete audit trail — directly answering the Legislative Audit.
Plan-Driven Service Validation
Real-time confirmation that authorized services are delivered according to individual Plans of Care — closing the gap that EVV cannot address.
Next Steps
Transition from
Aspiration to Proof
The Cura OS pilot gives Louisiana the validated evidence and scalable framework needed for statewide adoption.