Handbooks and Forms

Member Handbooks

• 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. 
  

• A Guide to Using Your Secure Member Portal

Forms

• 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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