How to become a Medicaid provider in Louisiana
To bill Louisiana Medicaid, enroll through Louisiana Medicaid Provider Enrollment Portal (via www.lamedicaid.com), run by Gainwell Technologies. The process has 4 steps, listed below with the documents the state asks for.
- Enrollment portal
- Louisiana Medicaid Provider Enrollment Portal (via www.lamedicaid.com)
- Steps
- 4
- Documents
- 4
- Plans listed
- 5
On this page
Louisiana Medicaid enrollment at a glance
To bill Louisiana Medicaid, enroll through Louisiana Medicaid Provider Enrollment Portal (via www.lamedicaid.com), run by Gainwell Technologies. The process has 4 steps, listed below with the documents the state asks for.
- Program
- Louisiana Medicaid (Louisiana Department of Health) — Healthy Louisiana
- Fiscal agent
- Gainwell Technologies (Louisiana Medicaid fiscal intermediary; runs provider enrollment and screening)
- Application fee
- Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- Louisiana applies fingerprint-based criminal background checks by risk level at enrollment and at every revalidation. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- Louisiana applies site visits by risk level at enrollment and at every revalidation. Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Louisiana revalidates all providers, including ordering/referring providers, at least every five years, and DMEPOS providers every three years. Notices go out by email and letter; there are no exemptions or extensions, and missing the due date means denied claims and deactivation, requiring a full new application. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Submit a Louisiana Medicaid enrollment application through the Provider Enrollment Portal (required for every provider that files claims, including MCO-only providers)
- Complete risk-based screening and disclosures (site visit and fingerprints if applicable)
- Track status and revalidation dates with the Provider Lookup Tool
- Separately enroll, credential and contract with each Healthy Louisiana MCO, dental plan (DBPM) or Magellan as needed; newly MCO-credentialed providers are invited to enroll under LDH's Provider Enrollment Rebaseline effort (from October 2024)
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Louisiana requires every provider, including those serving only managed care members, to enroll and be screened through the state's portal. LDH states that state enrollment is separate from, and does not replace, MCO credentialing: providers must still enroll, credential and contract with each MCO, dental benefit plan or Magellan, and MCOs re-credential every three years. Centralized credentialing: no.
- Plans (state list)
- Aetna Better Health of Louisiana
- AmeriHealth Caritas Louisiana, Inc.
- Healthy Blue
- Humana Healthy Horizons in Louisiana
- Louisiana Healthcare Connections
Frequently asked questions
How do I become a Medicaid provider in Louisiana?
To bill Louisiana Medicaid, enroll through Louisiana Medicaid Provider Enrollment Portal (via www.lamedicaid.com), run by Gainwell Technologies. The process has 4 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Louisiana Medicaid?
Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Louisiana Medicaid providers revalidate?
Louisiana revalidates all providers, including ordering/referring providers, at least every five years, and DMEPOS providers every three years. Notices go out by email and letter; there are no exemptions or extensions, and missing the due date means denied claims and deactivation, requiring a full new application. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.