Get Enrollment Packet Of The Louisiana Medical Assistance Program Form

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.

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.

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.

The Long Term Care Special Income Level program covers individuals who are aged, blind or disabled who qualify for institutional level of care because of their medical needs and who have monthly income between $2,742 and $5,484 (effective January 1, 2023).

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

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.

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.

Members can change their health or dental plan by visiting the Healthy Louisiana website (myplan.healthy.la.gov); using the Healthy Louisiana mobile app; calling 1-855-229-6848; or completing the paper enrollment form that is mailed to members and following the directions on the form to return it.