"Louisiana's Medicaid Program provides a complete package of medical coverage for those who qualify. However, it is not designed to help everyone with every medical expense....
The Medicaid Program works like other insurance coverage in many ways. Louisiana Medicaid pays health care providers directly for covered services, after all other medical insurances, including Medicare, have paid. Certified recipients who pay for medical expenses themselves may be reimbursed by Medicaid. "
*source: Louisiana Department of Health and Hospitals , Baton Rouge, LA 70802
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...Medicaid... provides health coverage to some low-income Louisiana residents. Medicaid covers families with children and pregnant women, the elderly, and people with disabilities, if state and federal guidelines are met. Legal residents who are not U.S. citizens may be eligible for Medicaid however, question concerning immigration status and eligibility should be directed to the Louisiana Department of Health and Hospitals..."
The Louisiana Medicaid Program is a Federally funded program, which provides health coverage to Louisiana residents, within certain groups, based on income and resource limits set by Congress. Medicaid provides a complete package of medical coverage for those who qualify. Generally, eligible recipients of benefits include low income families with children, low-income elderly, and persons with disabilities. Persons who are entitled to Medicare Part A and/or Part B are also eligible..."
...Your card will allow you to receive medical services from a provider if you are Medicaid eligible on the date the service is received, the service is covered by the Medicaid program, and the provider is enrolled in the Medicaid program..."
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
When you apply for Louisiana Medicaid, you must be a resident of the state. You will be required to confirm that you are a US citizen, or, that you are an alien in a satisfactory immigration status. Be prepared to prove your status with documentation.
Medicaid citizenship requirements Under federal law, all U.S. citizens and certain legal immigrants who meet Medicaid’s financial and non-financial eligibility criteria are entitled to Medicaid. The Medicaid program has long required states to establish that individuals applying for Medicaid are U.S. citizens or satisfy the immigration restrictions.... "
What has changed? In the Deficit Reduction Act of 2005, a new requirement was established with respect to citizenship verification of current and new Medicaid applicants. Citizen applicants were previously able to self-attest their citizenship and identity under penalty of perjury to qualify for Medicaid..... "
"Apply now or renew coverage for any Medicaid program..."
"...Please click on your parish in the map below to see a list of Medicaid Application Centers in your area...."
"CommunityCARE connects Louisiana Medicaid enrollees to a doctor, clinic or medical practice that serves as their Primary Care Provider (PCP). That PCP manages the care of the CommunityCARE member by...
There is no application for CommunityCARE. Medicaid enrollees who qualify are automatically enrolled, and the majority of Medicaid enrollees qualify."
LaCHIP is a health insurance program designed to bring quality health care to currently uninsured children and youth up to the age of 19 in Louisiana. Children can qualify for coverage under LaCHIP using higher income standards than traditional Medicaid...
LaCHIP provides health care coverage for the children of Louisiana's working families with moderate and low incomes. Children must be under age 19 and not covered by health insurance. Family income cannot be more than 200 percent of the federal poverty level (about $3,675 monthly for a family of four) for the no-cost LaCHIP program."
*source: Louisiana Department of Health and Hospitals , Baton Rouge, LA 70802
Originally created in 1997, the Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for CHIP, but children enrolling in the program must be otherwise uninsured."
LaCHIP provides no-cost health care for Louisiana families whose children are not covered by health insurance. View FAQ for the LaCHIP No-Cost... For only $50 per month, plus copays, the LaCHIP Affordable Plan provides low-cost health care for Louisiana families whose children are not covered by health insurance. View FAQ for the LaCHIP Affordable Plan..."
The Louisiana Children’s Health Insurance Program, or LaCHIP, was designed to bring quality health care to uninsured children up to age 19. It is a no-cost health insurance program that pays for children’s hospital care, doctor visits, prescription drugs, shots and more..."
The LaCHIP Affordable Plan is a new LaCHIP health insurance program for uninsured children in moderate income families whose income is too much to qualify for regular LaCHIP but whose gross income is below 250 percent of the Federal Poverty Level (FPL). The regular LaCHIP only covers uninsured children in families with countable income up to 200 percent of the FPL..."
COVERED BENEFITS: IN-NETWORK..."
...You can now apply for LaCHIP online with our easy-to-use online Medicaid application..."
...The Louisiana Children’s Health Insurance Program is a state-designed program that provides health coverage to low-income children under the age of 19 who are not eligible for Medicaid and who have limited or no health coverage..."
...LaCHIP is a health insurance program designed to bring quality health care to currently uninsured children and youth up to the age of 19 in Louisiana. Children can qualify for coverage under LaCHIP using higher income standards. LaCHIP provides Medicaid coverage for doctor visits for primary care as well as preventive and emergency care, immunizations, prescription medications, hospitalization, home health care and many other health services. LaCHIP provides health care coverage for the children of Louisiana's working families with moderate and low incomes..."
"General information about children’s health coverage... - State-based resources, including possible enrollment partners - Steps for enrolling a child in coverage program - Follow-up flyer for parents - Health resources, by county, for children who are not eligible for coverage...
Louisiana Children Health Insurance Program (LaCHIP) provides free and low-cost health coverage. If you are a family of four with income of $55,125 or less... Your child may also qualify for Medicaid coverage if you make $44,100 or less...."
Despite difficult economic times, Louisiana was one of 23 states that took steps to improve health coverage for children in the last year. In 2009, Louisiana adopted plans to implement Express Lane Eligibility by automating renewals for children who have an active food stamp case..."
The Medicaid program provides health insurance for 716,215 lowincome children in Louisiana"
...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,..."
Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ..."
Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income..."
Individual state profiles..."
...Exclusion from this list does not necessarily mean that a service is not covered. Please call one of the appropriate contacts for questions regarding coverage of services not listed on this chart...."
Louisiana Medicaid provides fullMedicaid benefits to uninsured women who are identified through the Centers for Disease Control (CDC) National Breast and Cervical Cancer Early Detection Program..."
Louisiana's Medicaid program covers many of the same things that private health insurance programs traditionally cover. Medicaid can also cover services to help "fill in the gaps" in Medicare and meet certain long-term care needs...."
Through the LaMOMS program, pregnant women of working families, either married or single, have access to no-cost health care coverage..."
BAYOU HEALTH is a new way for most of Louisiana's Medicaid and LaCHIP recipients to receive health care services. The overriding goal is to encourage enrollees to actively participate in their own health and the health of their families..."
More than one in ten women in Louisiana receive health care coverage through Medicaid... Medicaid ensures that women in Louisiana have access to a comprehensive set of important health care services..."
As of July 2003, 990,544 people were covered under Louisiana's Medicaid and SCHIP programs. There were 896,166 enrolled in the Medicaid program, and 94,738 enrolled in the Medicaid SCHIP Expansion program. In federal fiscal year 2001, Louisiana spent $2.88 billion to provide Medicaid services..."
Updated 10/10 - The updated list is from the August 11, 2010 P&T Committee Meeting. The effective date is October 1, 2010."
CThe Medicaid Pharmacy Benefit Management Program administers several prescription services for recipients and providers...."
The state of Louisiana does have the following programs related to Medicaid dental services... • The Early Periodic Screening, Diagnosis, and Treatment (EPSDT)... • Adult Denture Program... • Expanded Dental Services for Pregnant Women (EDSPW)..."
"Health centers are in most cities and many rural areas. Type in your address and click the 'Find Health Centers' button to find health centers near you. ..."
"Community, Migrant, and Homeless Health Centers are non-profit, community-directed providers that remove common barriers to care by serving communities who otherwise confront financial, geographic, language, cultural and other barriers."
If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish..."
"...hand-held guide available that outlines your state’s (Louisiana) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites..."
...As a Louisiana resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a Louisiana resident...."
Louisiana's Medicaid Program provides payment for special long-term care support services, as well as full Medicaid health coverage, to eligible people who, because of their medical conditions, require assistance with activities of daily living (for example, eating, bathing, dressing, grooming, and transferring)..."
...You must live (or plan to live) in a nursing home, a state developmental center, or a group or residential home for persons with mental or developmental disabilities. ...">
Effective April 1, 2011"
These are Louisiana Nursing Homes in cities A - Z." In addition to the state directory described above, there are nursing home directories for principal Louisiana cities. A few examples:
Louisiana Medicaid may help pay part of medical costs, including Medicare premiums or other out-of-pocket expenses, and monthly premiums (up to $35) for Medicare Prescription Drug Plan(Medicare Part D) for senior citizens who meet certain qualifications."
"A Medicaid Waiver is money that can pay for services for people with developmental disabilities. These services can take place in the person’s home or in the community. Both children and adults can be supported by Medicaid Waiver services.
Medicaid usually pays for doctor appointments, hospital expenses, medicine, therapy, and some adaptive equipment. The Medicaid Waiver allows for Medicaid to be used to pay for additional services. The state writes a plan that tells what kind of services will be provided under their Medicaid Waiver program. The federal government has to approve the Medicaid Waiver plan. The Medicaid Waiver dollars are part state and part federal money. "
*source: Unlock The Waiting Lists! Campaign , Atlanta, GA 30303
Family Opportunity Act Medicaid provides health coverage to uninsured or underinsured children who have disabilities in families with too much income to qualify for regular Medicaid or LaCHIP...."
...Depending on the kind of care you need, LTC services can be provided in one of several types of settings, such as a hospital, nursing home, group residence, Adult Day Health Car..."
"...a list of all Louisiana 1915(c) Waivers by name - complete with a description, contact information and web link...."
...This list contains information about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs..."
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