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  • Louisiana Medicaid Application Pdf

Get Louisiana Medicaid Application Pdf

N by What language do you speak best? What language do you write best? English English Spanish Spanish . (for agency use only) Vietnamese Vietnamese Other (specify) Other (specify) If you do not speak English we can get interpreter services to help at no cost to you. If you need help to fill out this form, call your local Medicaid office or call us toll free at 1+888+544-7996. If you are deaf or have hearing problems, call the TTY line toll free at 1+800+220-5404. This application is to g.

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First, the Louisiana Department of Health will review your application to see if you are eligible. You will usually be notified within 45 days of applying. If you are applying for Medicaid because of a disability, it may take longer – up to 90 days.

Are aged 19 to 64 years old, have a household income less than 138% of the federal poverty level, doesn't already qualify for Medicaid or Medicare, and meet citizenship requirement.

Apply online by visiting the Medicaid Self-Service Portal. Download and print an application. Then mail or fax all pages to Medicaid as directed on the form. Call Medicaid Customer Service toll free at 1-888-342-6207 to apply by phone.

LaCHIP provides health care coverage for the children of Louisiana's working families with moderate and low incomes.

Enrollment is easy. Download the app and get started today! Questions or feedback? Call Healthy Louisiana to speak with one of our enrollment agents.

Healthy Louisiana is the way most of Louisiana's Medicaid and LaCHIP recipients receive health care services. The overriding goal is to encourage enrollees to own their own health and the health of their families. In Healthy Louisiana, Medicaid recipients enroll in a Health Plan.

If you are not sure if you have Medicaid health coverage, call Medicaid Customer Service toll free at 1-888-342-6207.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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