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How to Choose Us

How to choose us:
Visit Healthy Louisiana or call 1-855-229-6848

To find out more:
To find out more about Medicaid programs and eligibility, call 1-888-342-6207 or go to the Department of Health & Hospitals website.

For questions:
For questions on enrollment, call the Healthy Louisiana Program at
1-855-229-6848 or go to the Healthy Louisiana Program.

Mandatory Enrollees

For some eligible Medicaid and LaCHIP enrollees, choosing a health plan through the Healthy Louisiana Program is required. These groups include:

  • Blind and disabled children under age 19
  • Children eligible for the Coordinated System of Care (CSoC) program
  • Eligible children under age 19 and certain groups of older children
  • Children with special health care needs
  • Foster care children who are receiving foster care or adoption assistance, are in foster care or are in an out-of-home placement
  • Native Americans who are members of federally recognized tribes
  • Eligible parents and caretaker relatives including those in:
    • Parents and Caretaker Relatives Program
    • TANF Program
    • Regular Medically Needy Program
  • Pregnant women who are eligible due to pregnancy for pregnancy-related services only
  • Women without insurance under age 65 who are eligible for Medicaid and need treatment for breast and/or cervical cancer. Members will be identified through the Centers for Disease Control and Prevention National Breast and Cervical Cancer Early Detection Program
  • Aged, blind or disabled adults, age 19 or older
Voluntary Opt-In Populations

For these eligible Medicaid and LaCHIP enrollees, you are not automatically enrolled in a health plan through the Healthy Louisiana Program, but you may choose to enroll. These groups include:

  • Individuals getting services through the following waivers:
    • Adult Day Health Care (ADHC)
    • New Opportunities Waiver (NOW)
    • Children’s Choice (CC)
    • Residential Options Waiver (ROW)
    • Supports Waiver
    • Community Choices Waiver (CCW)
  • Individuals under the age of 21 eligible for Medicaid who are Chisholm Class Members.

As a member of the voluntary opt-in population, you:

  • Can return to the standard Medicaid or LaCHIP plan for all state plan services other than specialized behavioral health and nonemergency transportation services at any time. Once you decide to switch back it would be effective the next month.
  • Have 90 days to switch to another Healthy Louisiana plan from the time of enrollment
Specialized Behavioral Health Services

Some members only get specialized behavioral health services through the Healthy Louisiana plan. These members include:

  • Individuals living in nursing facilities
  • Individuals under the age of 21 living in intermediate care facilities for people with developmental disabilities (ICF/DD)
  • Members who receive both Medicaid and Medicare and are eligible for nonemergency medical transportation
  • Members who do not receive both Medicaid and Medicare with the following home and community based waivers:
    • Adult Day Healthcare
    • New Opportunities Waiver
    • Children’s Choice
    • Residential Options Waiver
    • Supports Waiver
    • Community Choices Waiver
  • Member under age 21 who are in the Chisholm Class
Medicaid Expansion Enrollees

You can apply for Medicaid expansion if you:

  • Are 19 to 64 years old
  • Meet citizenship requirements
  • Don’t already qualify for Medicaid or Medicare
  • Have a household income less than 138% of the federal poverty level
Family Size
Family Income
Weekly
Bi-Weekly
Monthly
Yearly
1
$316
$631
$1,367
$16,395
2
$426
$851
$1,843
$21,108
3
$536
$1,071
$2,319
$27,821
4
$645
$1,290
$2,795
$33,534
5
$755
$1,510
$3,271
$39,248
6
$865
$1,730
$3,747
$44,961