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Completing a Medicaid Application. There are four (4) ways to apply for Medicaid – online, by mail, in person or by phone. Choose the method that works best for you. Apply online. To apply by phone, call 1-888-342-6207. To apply in person, locate the nearest application center here or Medicaid Regional office here.
Online applications shall be submitted in the presence of the applicant. If this is not possible, submit the paper 1A signed by the applicant. The 1A should be submitted by fax using the RightFAX cover which requires the Trusted User to sign indicating adherence to Medicaid guidelines.
The Louisiana Children’s Health Insurance Program (LaCHIP) provides health coverage to uninsured children up to age 19. It is a no-cost health program that pays for hospital care, doctor visits, prescription drugs, shots and more. Click here to apply for LaCHIP.
You can begin to apply and establish your application date by filling in your name, address and signature below and give this form to us today. It will help us to process your application faster if you also give us a telephone
16 Δεκ 2021 · The easiest way to complete the enrollment process is by applying for Medicaid using the self-service portal. Applicants can also call the Medicaid hotline at 888-342-6207, Monday through Friday from 8 a.m. to 4:30 p.m. Visit www.ldh.la.gov/act421 for more information and frequently asked questions.
A Medicaid eligibility application must be completed for all applicants, including those waiver already determined eligible under another category of Medicaid assistance such as Louisiana Children’s Health Insurance Program ( LaCHIP).
The following checklist shows all required documents that MUST be submitted to enroll with Fee For Service (FFS) Louisiana Medicaid. Please make certain to complete each required form in its entirety to avoid processing delays.
