Providers

Medicaid provider enrollment

ACT NOW — Enroll in the Medicaid Provider Enrollment Portal Opens a new window Opens a new window

Louisiana Medicaid has launched its Medicaid Provider Enrollment Rebaseline at the end of October 2024, with future rebaselines for new providers occurring every two months thereafter.

Rebaseline means new managed care organization (MCO) credentialed providers that have not enrolled with Louisiana Medicaid will receive an invitation letter to enroll through the web portal. The invitation letter will provide specific provider information along with detailed instructions needed for the enrollment process.

Providers that receive an enrollment invitation letter must enroll with Louisiana Medicaid to avoid impacts to claims processing. This includes admitting, ordering, referring and prescribing providers and out of state providers that have billed Louisiana Medicaid.

Providers with multiple provider types must complete an enrollment for each type.

Providers will have 120 days to complete an enrollment and must allow several weeks for application processing. Providers that have not completed enrollment within 120 days of receiving the enrollment invitation letter will result in denied claims and deactivation from the Louisiana Medicaid program.

Providers that are unsure of their enrollment status or that want to check the status their application may use the Provider Portal Enrollment Lookup Tool at https://www.lamedicaid.com/portalenrollmentstatus/search. Results will show the provider’s status as either enrollment complete, action required, application not submitted, or currently in process by Gainwell Technologies. Providers that are not shown in the results are not required to enroll at this time. Invitation letters for those providers will be sent at a later date.

Providers can find additional information in IB 22-4 Medicaid Provider Enrollment Portal (PDF).

Medicaid urges enrollees to update information to maintain eligibility.

The Louisiana Department of Health (LDH) is seeking provider assistance to encourage their Medicaid patients to keep their case information (address, financial, and employment) updated to ensure eligibility. This can be done through Medicaid’s new Self-Service Portal.

Updated information is increasingly important as Medicaid is conducting more frequent eligibility verifications with its new eligibility and enrollment system. Previously, income was verified annually. Additionally, renewals will be handed by mail only, making it important that recipients keep their contact information updated so they do not miss important mail.

Providers are asked to remind their Medicaid patients to respond to any mail from Louisiana Medicaid in the timeline provided in the letter. Failure to respond could result in case closure.