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Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

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Statewide Initiatives

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Medicaid Forms Library

Select from these categories to find Medicaid eligibility forms. You can apply for or renew health coverage for Louisiana Medicaid online at Louisiana Medicaid Online Services.

Medicaid Applications Complete one of these applications to see if you qualify for Medicaid health care coverage.
Medicaid Renewal Forms If you already qualify for Medicaid health coverage, we review your case each year to see if you still qualify. Complete one of these renewal forms to see if you still qualify.
Other Medicaid Forms This library contains forms such as medical release forms and flyers for Medicaid programs.
Medicaid Provider Forms This library contains some forms used by providers who accept Medicaid.