Get Wage Verification Request-mpp - Department Of Health & Hospitals - Dhh Louisiana

The Wage Verification Request-MPP is a crucial document for verifying wages for individuals enrolled in the Medicaid Program in Louisiana. This guide aims to assist users in completing the form accurately and efficiently in an online format.

Follow the steps to complete the Wage Verification Request-MPP online effectively.

1. Press the ‘Get Form’ button to access the Wage Verification Request-MPP and open it in your preferred document editor.
2. Begin by entering the name of the applicant or eligible person in the designated field. This should be the individual for whom the wage verification is being completed.
3. Next, provide the Social Security Number and Case ID Number of the applicant in the appropriate fields. Ensure that these are entered accurately to avoid any processing delays.
4. Fill in the date of the request to keep track of when the information is being submitted.
5. Move to the section regarding the employer’s details. Include the name of the employer and their address.
6. If applicable, specify the date the employment started and the expected end date or last day worked for the individual.
7. If the individual has been terminated, detail the amount of their last check and last day worked in the provided fields.
8. Indicate how often the employee is paid and complete the corresponding chart with the most recent gross pay amounts. Fill in the date wages were received and the number of hours worked.
9. Complete the tax withholding section, detailing any federal, state, Medicare, and Social Security taxes withheld.
10. If the form details that no taxes were withheld, include a brief explanation in the appropriate response area.
11. If the individual is a contractor, confirm whether IRS Form 1099 will be issued in the designated section.
12. Confirm whether the employee has health insurance and provide the name of the insurance company, policy number, coverage type, and monthly premium if applicable.
13. Finally, ensure that the employer signs and dates the form, and provide their contact number for any follow-up inquiries.
14. Once completed, users can save changes, download, print, or share the form as necessary.

Complete your Wage Verification Request online today for a smooth and efficient processing experience.