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  • Louisiana Medicaid Form Bhsf 148 W

Get Louisiana Medicaid Form Bhsf 148 W

BHSF Form 148-W Rev. 05/07 Prior Issue Obsolete Notification of Admission, Status Change, or Decertification/Discharge for HCBS Waiver Support Coordinator/ADHC Agency: Support Coordinator/ADHC Address:.

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What is Healthy Louisiana? Healthy Louisiana is the way most of Louisiana's Medicaid recipients receive health care services. As soon as you or family members are eligible for Medicaid, you need to choose a Healthy Louisiana Health Plan to manage your or your family member's health care.

Q: Can I use my Louisiana Medicaid card to receive medical services out of state? Am I covered beyond prescription services? Yes, your out-of-state provider will need to enroll with Louisiana Medicaid in order to treat you and be reimbursed for your care.

Your Medicaid Card Number can be found on the front of your Medicaid card (see the picture to the right). The number you will use is the one that follows “CCN:” on the front of your card.

You may call the LaCHIP hotline at 1-877-252-2447 and choose the "Replace Medicaid Card" option and provide the information required to obtain a replacement Medicaid card through the automated system. You may also submit your request online at the Louisiana Medicaid Online Application page.

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

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.

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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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