Louisiana Department of Health - Medicaid Program


Please Note

We are a service company that can help you file with the Louisiana Department of Health - Medicaid Program. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Phone: 225-216-6370

Web: Home Name search

Licenses

We track the following licenses with the Louisiana Department of Health - Medicaid Program in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Louisiana Medicaid Provider Enrollment - Entities/Businesses

Agency:Louisiana Department of Health - Medicaid Program
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Basic Provider Enrollment Packet for Entities/Businesses

Agency Fee:

$599

Turnaround:

~3 weeks

Notes:

Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.

Registration Renewal

Form:

Basic Provider Enrollment Packet for Entities/Businesses (Renewal)

Agency Fee:

$599

Due:

Every 3 or 5 years depending on the type of services provided.

Louisiana Medicaid Provider Enrollment - Individuals

Agency:Louisiana Department of Health - Medicaid Program
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Registration Renewal

Form:

Basic Provider Enrollment Packet for Individuals (Renewal)

Agency Fee:

$0

Due:

Every 3 or 5 years depending on the type of services provided.

Related Government Agencies

Explore other Louisiana government agencies we can help you stay compliant with:


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