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  • Pa-14 Form - Louisiana Medicaid

Get Pa-14 Form - Louisiana Medicaid

MAIL TO: Molina / LA. MEDICAID P.O. BOX 14919 BATON ROUGE, LA. 70898-4919 STATE OF LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS Bureau of Health Services Financing Medical Assistance Program REQUEST.

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Contact support

You can contact Medicaid by phone at 1-888-342-6207 or by email at MyMedicaid@la.gov. You can get help in person at a Medicaid Application Center or Medicaid Office.

The Medicaid Eligibility Verification System (MEVS). Providers can accept verification of enrollment in Louisiana Healthcare Connections from the MEVS system in lieu of the ID card. Online through our secure provider portal. By phone using our automated IVR system, 1-866-595-8133.

Out-of-network providers must submit a pre-authorization for all services, excluding family planning, emergency room and table top x-ray service. If you are not in the Louisiana Healthcare Connections provider network, you can learn about Joining Our Network.

Call Medicaid Customer Service toll free at 1-888-342-6207 or go online by visiting the Medicaid Self-Service Portal to update your address. If you do not have an online account, you can create an account at any time.

Questions? If you have further questions, please email LouisianaProvEnroll@gainwelltechnologies.com or call 833-641-2140, Monday – Friday between the hours of 8 a.m. and 5 p.m. Central time.

Provider Relations maintains a telephone inquiry staff as well as a correspondence unit. To contact the Provider Relations Department, call (800) 473-2783 or (225) 924-5040. Field Analysts are also available for scheduled meetings upon request.

If you have questions, call Healthy Louisiana at 1-855-229-6848 (TTY: 1-855-526-3346).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232