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The document is a Louisiana Medicaid General Application form used to apply for various Medicaid programs, excluding Long Term Care Medicaid. It provides detailed instructions on how to complete the application, including required personal information, proof of income, and documentation needed for eligibility. The form also includes sections for reporting changes in circumstances and rights and responsibilities related to Medicaid services.

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What are the four types of Medicaid?

0:22 1:59 First up we have the traditional Medicaid. This ones the original program it covers hospital visitsMoreFirst up we have the traditional Medicaid. This ones the original program it covers hospital visits doctor appointments. And even long-term Medical Care.

Where do I apply for Medicaid in Louisiana?

There are several ways you can apply for Medicaid or get more information: Apply now or renew coverage for any Medicaid program by visiting the Louisiana Medicaid Self-Service Portal (SSP). Call the Medicaid hotline toll free at 1.888.342.6207 for help applying. Contact any Medicaid Application Center statewide.

How does a person qualify for Medicaid in Louisiana?

Are aged 19 to 64 years old, have a household income less than 138% of the federal poverty level, doesnt already qualify for Medicaid or Medicare, and meet citizenship requirement. Get financial help from the Office of Family Support (OFS) through the Family Independence Temporary Assistance Program (FITAP)

Where do I go to apply for Louisiana Medicaid?

You can apply for Medicaid at any time. Apply online by visiting the Medicaid Self-Service Portal. Download and print an application. 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.

How much money can you have in the bank to get Medicaid in Louisiana?

Income Asset Limits for Eligibility 2025 Louisiana Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingle Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month* $2,000 Medicaid Waivers / Home and Community Based Services $2,901 / month $2,0001 more row Dec 5, 2024

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What is the income limit to qualify for Medicaid in Louisiana?

How to Apply and Join. When you enroll in Medicaid, you can choose Louisiana Healthcare Connections as your health plan. You may qualify for Medicaid if you are: Are age 19-64 and make less than 138% of the Federal Poverty Level (about $16,000 for a single person living alone, or about $33,000 for a family of four.