Handbooks and Forms
- Integrated Care for Physical and Behavioral Health
For most members, including those in the Medicaid Expansion; TANF; LaCHIP; Foster Care; Pregnant Women; and Aged, Blind and Disabled Adults programs
- Specialized Mental Health and Substance Use Treatment Only
For members receiving Home and Community Based Services (HCBS), who are dual eligible for Medicaid and Medicare, or who are residing in a health care facility.
- Health Information Form (complete online)
- Notification of Pregnancy (complete online)
- Change Your Primary Care Provider (PCP) (complete online)
- Grievance and Appeal
- State Fair Hearing for Appeal
- Recommendation or Concern
- Personal Appeal Representative
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