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-born infrastructure already serving thousands of citizens, providing the operational foundation for 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 costs a fraction of a nursing facility bed. 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.