This form is a Customer Contact Sheet used to record the details of a customer contact.
Louisiana Customer Contact Sheet
State:
Multi-State
Control #:
US-TS9065A
Format:
Word;
PDF;
Rich Text
Instant download
Description
How to fill out Customer Contact Sheet?
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FAQ
ProgramFamily Size/Monthly Income LimitsLaCHIP - for children$2,637$5,425LaCHIP Affordable Plan - for children$3,099$6,375LaMOMS - for pregnant women$3,450Medicaid Purchase Plan - for workers with disabilities$1,2156 more rows
We will make a decision and you will be notified within 45 days (with some exceptions) after you apply. If your application is based on disability, it may take up to 90 days. Coverage can start as early as 3 months before the month you apply.
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.
If you have a question or need assistance from the Louisiana Department of Health (LDH) for a matter that is not related to the Coordinated System of Care (CSoC), please call (225) 342-9500 or use this link.
Text: Text the word "Info" or "Information" to Louisiana Medicaid at 72147. ... Log on to: MyMedicaid.la.gov (account log in and password required) ... Email: MyMedicaid@la.gov. Call your health plan at: ... Or call Medicaid Customer service at 1-888-342-6207, between the hours of 8 a.m. and p.m.
So if a woman is part of a household of two and then becomes pregnant, she's then considered part of a household of three, which means the household income level can be as high as $2,895 per month in 2023 and she'll qualify for Medicaid (without being pregnant, as part of a household of two, the household income would ...
Those contracts are with the five existing health plans - Aetna Better Health of Louisiana, Amerihealth Caritas Louisiana, Healthy Blue, Louisiana Healthcare Connections and UnitedHealthcare Community Plan.
Call Medicaid Customer Service at 1-888-342-6207 to request a new card or visit the online Medicaid Self-Service Portal. You can create an online account at any time. Until you receive your new card you should call your health care provider before your appointment to make sure they can verify your coverage.
