La Medicaid Application Portal

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LA E&E - Self Service Portal

A partner is a person or group contracted with the Louisiana Department of Health to perform a specific role such as assisting with Medicaid applications. An example of a partner is an Application Center. If you are a Partner and want to login or …

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Medicaid | La Dept. Of Health

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. Apply in-person at your local Medicaid office. Contact any Medicaid Application Center statewide.

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Medicaid | La Dept. Of Health

Mailing Address: Louisiana Department of Health | P. O. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848

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Application | Common Web Portal

Medicaid provides health coverage for eligible, low income populations in Mississippi. These include children, low-income families, pregnant women, family planning benefits, the aged, and disabled. The MS Family Planning Waiver Demonstration program provides family planning and related services for men and women.

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Benefits Portal

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Provider Portal Access - Utah Department Of Health Medicaid

For each approved Medicaid provider, please assign the ‘EXT Provider Account Administrator’ profile to multiple employees in your office. Multiple employees assigned to this profile, will allow you to manage the provider’s PRISM account in the provider portal, even if an account administrator terminates employment or is unavailable.

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Apply For Medicaid - Utah Department Of Health Medicaid

Download a Medical Application. Mail completed application to: Department of Workforce Services PO Box 143245 Salt Lake City, UT 84114-3245; By Fax. Download a Medical Application. Fax completed application to: Department of Workforce Services Fax: 801-526-9505 Toll-free Fax: 1-888-522-9505; In Person. Download a Medical Application.

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Medicaid Forms

Application for Health Coverage & Help Paying Costs: ODM 03528: Healthchek & Pregnancy Related Services Information Sheet: ODM 10129: Long-Term Services and Supports Questionnaire (LTSSQ) - Email Request: ODM 02399: Request for Medicaid Home and Community Based Services (HCBS)

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LA CAFE - Louisiana CAFE Customer Portal

Louisiana Combined Application Project (LaCAP) LaCAP is a food assistance program for Louisiana residents who are at least 60 years of age and receive Supplemental Security Income (SSI) Disaster Supplemental Nutrition Assistance Program (DSNAP)

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Medicaid | Department Of Health | State Of Louisiana

Mar 01, 2012  · To ensure the security of recipient and provider information the Provider Applications Area is a secure portal and is available to Louisiana Medicaid providers only. It is the responsibility of each Medicaid provider to register and obtain a login and password for this area of this website to access the applications that are contained herein.

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