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
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.
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: | |
| 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 |
Initial Registration
| Form: | |
| Agency Fee: | $0 |
Registration Renewal
| Form: | |
| 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:
- Louisana Board of Professional Geoscientists
- Louisiana Board of Drug and Device Distributors
- Louisiana Board of Pharmacy
- Louisiana Department of Agriculture & Forestry - Seed Programs Division
- Louisiana Department of Agriculture and Forestry - Horticulture Commission
- Louisiana Department of Environmental Quality
- Louisiana Department of Insurance
- Louisiana Department of Justice - Public Protection Division - Charities
- Louisiana Department of Revenue
- Louisiana Department of Revenue - Alcohol and Tobacco Control Office
- Louisiana Office of Charitable Gaming
- Louisiana Office of Conservation - Water Well Drillers and Contractors Program
- Louisiana Office of the State Fire Marshall - Licensing Section
- Louisiana Professional Engineering and Land Surveying Board
- Louisiana Real Estate Commission
- Louisiana Secretary of State - Commercial Division
- Louisiana State Board of Architectural Examiners
- Louisiana State Board of Interior Designers
- Louisiana State Board of Private Investigator Examiners
- Louisiana State Licensing Board for Contractors
- Louisiana Workforce Commission
- State Board of CPAs of Louisiana
- State Plumbing Board of Louisiana
