How Does Medicaid Work
The Medicaid program does not provide health care services for everyone. Your application will be reviewed for all Medicaid programs. If you are found eligible for Medicaid, you will get:
- A letter in the mail from Medicaid telling you about your coverage
- A Medicaid ID card
- A Healthy Louisiana plan ID card, if you enroll in a plan.
Each time you go to your health care provider or pharmacy, take your Medicaid ID and Healthy LA plan ID cards with you. Show them at all medical visits before you receive any service. The health care provider or pharmacy will tell you if they accept your Medicaid benefits. You should also ask your health care provider or pharmacy if the service or prescription is covered by Medicaid before receiving the service or filling a prescription.
Medicaid does not pay money to you instead, it sends payments directly to your health care provider or pharmacy.
What If I Am Not A U S Citizen
To be eligible for Medicaid in Louisiana, you must be resident of Louisiana and either U.S. citizen or a non-citizen who is lawfully present in the U.S. Non-citizens can qualify for coverage for emergencies and labor and delivery services if income requirements are met.Medicaid and LaCHIP coverage may be available to children up to age 19 who are lawfully residing and are otherwise eligible.
Your Rights And Control Under Eu Gdpr
Data Controllers and Processors.
Our Customers use our Services to post job opportunities, evaluate job applicants, manage their human resource activities, and train their workforce. In conducting these activities, the Customer maintains control over what personal data is collected, how it is used, how long it is retained, and who it is disclosed to. For purposes of the EU GDPR, the Customer is considered a data controller in these respects and we are a data processor. In other instances, such as when we use cookies or contact you about our Services, we will determine the means and purpose of processing.
EU Data Subject Rights.
Data subjects in Europe whose personal data we receive through appropriate safeguards have legal rights to determine whether we hold personal data about them, to access personal data we hold about them, and to obtain its correction, update, amendment, or deletion in appropriate circumstances. In particular, your rights may include:
If you visited our website and you want to exercise any of the above rights please contact our support team or privacy team at the contacts listed herein. If your request is for the right to be forgotten as it relates to our use of cookies, you can achieve this by clearing the cookies in your browser settings.
Lawful Basis for Processing.
For personal data subject to the European Union General Data Protection Regulation and ePrivacy Directive, we rely on multiple legal bases for processing, including:
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Will Medicaid Provide Payment For A Family Member Who Needs Nursing Home Care
Louisiana’s Medicaid Program provides payment for special long term care support services, as well as full Medicaid health coverage, to eligible people who, because of their medical condition, require assistance with activities of daily living . Long-term care supports may be provided either in a facility or in an individual’s own home or in the community. Visit Medicaid Long-Term Care.
How Do I Apply For Medicaid
You can apply for Medicaid at any time.
Even if you applied by mail, in-person, or over the phone, you can create an online account to check the status of your application, report household and address changes, request a new Medicaid ID card, and renew your Medicaid coverage.
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Personal Data We Collect About You And Why
In this Section we set out general categories of personal data we may collect and the purpose for using your personal data, including the personal data collected and processed over the past year. We collect and process personal data to provide you the Services, fulfill our contractual responsibility to deliver the Services to our Customers, fulfill your requests, and pursue our legitimate interests and our business and commercial purposes. We also automatically collect data during your usage and collect other personal data about you from other sources. Your personal data will only be collected and used for purposes stated herein, where you provide additional consent, or as required by law or regulation – including national security or law enforcement requirements.
Information Provided by You.
We collect personal data from you directly when you visit our Services from either your computer, mobile phone, or other device, attend one our events, or communicate with our personnel. The categories of personal data we collect from you, including over the past year, involve the following:
You may voluntarily submit other personal data to us through our Services that we do not request and are not required for the relevant data processing activity. In such instances, you are solely responsible for such personal data.
Information Collected Automatically.
Information from Other Sources.
Information Collected When Using the PowerLine Application
Health Coverage In Louisiana
In 2014, Louisiana had the one of the highest uninsured rates in the U.S. Half of Louisianans were covered under private health insurance, with 45% of Louisianans covered by employer-sponsored insurance and the remaining 5% covered by individual26 coverage . Over one quarter were covered by Medicaid/other public coverage and 11% were covered by Medicare. Of the over half million beneficiaries enrolled in Medicare, nearly a third were enrolled in Medicare Advantage plans in 2015.27
Individuals who were uninsured in 2014 were primarily low-income, in working families, and White non-Hispanic. Because most elderly Louisianans are covered by Medicare, most uninsured are nonelderly . The majority of nonelderly, uninsured Louisianans in 2014 had at least one full-time worker in their household and had income below 400% of the federal poverty level . Almost half of nonelderly, uninsured Louisianans identified as White, over one-third identified as Black, and 15% identified as Hispanic . Additionally, Figure 16 shows how the uninsured rate varies across parishes in Louisiana.
Figure 7: Health Insurance Coverage of the Total Population in Louisiana, 2014
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Louisiana Department Of Health To Pay $1342 Million To Settle Alleged False Medicaid Claims For Nursing Home And Hospice Care
The Louisiana Department of Health has agreed to resolve allegations that it submitted false and inflated Medicaid claims for long-term nursing home and hospice care, the Department of Justice announced today. Under the settlement agreement, the state agency has agreed to pay $13,422,550.
Todays settlement demonstrates that we will take whatever steps are appropriate in our effort to protect federal healthcare programs, including Medicaid, from false claims, said Assistant Attorney General Jody Hunt for the Department of Justices Civil Division. Anyone who seeks to profit at the expense of Federal taxpayers, including state agencies, will face appropriate consequences.
This office will remain vigilant in its efforts to ensure the integrity of the Medicaid program by continuing to pursue those who commit improprieties against the program whether they be providers or beneficiaries, or those more central to the administration of the program, said Brandon J. Fremin, the U.S. Attorney for the Middle District of Louisiana. The people of Louisiana deserve it. I am grateful to the dedicated AUSAs and staff in our Civil Division and to the Office of Inspector General for the U.S. Department of Health and Human Services for their hard work and dedication to this very important matter.
The claims resolved by this settlement are allegations only, and there has been no determination of liability.
Data Security And Integrity
We implement physical, technical, and administrative safeguards designed to maintain data accuracy, integrity, and security, prevent unauthorized access, and facilitate correct use of personal data. Our security measures take into account the risk of harm to you and Customers, as well as the availability of technology, industry common practices, effectiveness of mitigation controls, and the sustainability of those controls by us.
Although we maintain the controls listed herein, transmission of data is not without risk and we complete security of your personal data cannot be guaranteed. Please note, you are responsible for keeping your login credentials secret at all times, including your username and password.
In the event we believe the security of your personal data in our possession or control may be compromised, we may seek to notify you by e-mail and you consent to our use of e-mail as a means of such notification.
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Your California Privacy Rights
If you are a California resident, you have the additional data rights listed below. You can exercise some of these rights by utilizing the prompts within messages we send you within your account settings, or within the privacy settings on our web pages. Otherwise, you are also able to exercise these rights by contacting our support team using the privacy support emails listed at the end of this Policy. Please note, if we cannot verify your identity we may deny certain data right requests. You can designate an authorized agent to submit requests on your behalf, but we require written proof of the agents permission and verify your identity directly.
California Civil Code Section 1798.83 permits our visitors who are California customers to request certain information regarding our disclosure of personal data to third parties for the third parties direct marketing purposes. To make such a request please send a letter to: Governmentjobs.com, Inc., 300 Continental Blvd. Suite 565, El Segundo, CA 90245 Attn: Privacy Department. Requests must include California Privacy Rights Request in the first line of the description and include your name, street address, city, state, and ZIP code. Please note Governmentjobs is not required to respond to requests made by means other than through the provided mail address.
How Do I Report An Address Change
Call Medicaid Customer Service toll free at 1-888-342-6207 or go online by visiting the Medicaid Self-Service Portal to update your address.
If you do not have an online account, you can create an account at any time. Creating an online account allows you to check the status of your application, report any household changes, report an address change, request a replacement Medicaid ID card, and renew your Medicaid benefits.
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How Can I Report Medicaid Fraud
If you suspect a person or a doctor, clinic, hospital, home health service or any other kind of medical provider is committing Medicaid fraud or abuse, report it.
Overview Of Your Data Rights
Your data rights for personal data where we are the data controller.
You can review and enforce your personal data rights through your account, communications you receive from us, third party mechanisms, or with the assistance of our support team using the emails at the end of this Policy. For instance, you can:
Your data rights for personal data you submit to our Customers.
Upon making your personal data available to an employer , your personal data may be controlled by our Customer. In this regard, we are a data processor for personal data Customers maintain have us process, and your data rights are subject to our Customers internal policies. For these reasons, we are not in a position to directly handle data requests for personal data controlled by Customers. You should contact the Customer regarding personal data they may hold about you and to exercise any data rights you may have. We will cooperate with such inquiry in line with applicable law and our contractual obligations with the Customer.
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Where Can I Find Information About A Nursing Home’s Health Or Fire
Health and fire-safety inspections with detailed and summary information about deficiencies found during the three most recent comprehensive inspections and the last three years of complaint investigations are found on the Medicare.gov Nursing Home Compare website.
Nursing Home Compare allows consumers to search for a nursing home based on location and compare the quality of care they provide and their staffing. Nursing Home Compare has detailed information about every Medicare and Medicaid-certified nursing home in the country.
For information about Louisiana nursing homes or any other nursing home inquiry, contact the LDH Health Standards Section, Nursing Home Program Desk at 225-342-0114 or visit the Louisiana Nursing Home Association website. Nursing home providers are required to post the results of their most recent inspection in the facility.
Do Not Sell My Personal Information
For California residents, and to the extent NEOGOV sells your personal information as the term sell is defined under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information by us to third parties at any time. This setting only applies to registered account holders that have opted-in for an Access Membership. If you wish to opt-out click follow these steps:
If you do not have a registered account this setting does not apply, however, you can review your right on our privacy policy.
If you require further assistance, please email
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Simplicity At Its Finest
To be a simple kind of man is what this here app lets me be an in a country for you an me this actually rocks harder than punk rockers on a keg of whiskey or vodka in Seattle Washington during Halloween. But I say that to say this app helped me complete in mere seconds what over the phone lines an in office takes days to complete.
How Do I Replace My Medicaid Id Card
Call Medicaid Customer Service at 1-888-342-6207 to request a new card or visit the online Medicaid Self-Service Portal. You can create an online account at any time. Until you receive your new card you should call your health care provider before your appointment to make sure they can verify your coverage.
If you need a new Healthy Louisiana plan ID card, call the member services department for a replacement card.
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Dont Miss The Deadline
If you are a Louisiana Healthcare Connections member, youre already connected to the care you need, so dont risk losing it! You must complete your renewal process by the due date on your letter. If you miss the deadline, you will lose coverage and must reapply for Medicaid.
There are several ways to submit your form or additional information:
Where We Are A Service Provider
Our Customers are organizations such as federal, state, local, tribal, or other municipal government agencies , private businesses, and educational institutions , who use our Services to evaluate job applicants and manage their relationship with their personnel. When we provide our Services to our Customers, the Customer generally controls and manages the personal data, and we process personal data as a data processor or service provider. Our legal obligations as a processor and service provider are set out in our Customer contracts and policies.
For instance, if you apply to a job or your employer utilizes our Services to manage their relationship with you, the personal data collected about you is generally controlled by the employer . This Policy does not describe the processing of your personal data by our Customers, and we encourage you to visit the Customers privacy policy for information about their privacy practices. For example, if you applied to a job at a local state agency, you should contact that agency with any questions you may have relating to the personal data processing by that state agency within our Services.
Where we serve as a data processor, our Customer contracts and policies require us to either instruct you to contact our Customer, or redirect your inquiry to our Customer.
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What If I Have Questions About My Healthy Louisiana Plan
If you have questions about your Healthy Louisiana plan, contact your plans customer service department.
- Aetna Better Health 1-855-242-0802 TTY: 711 Available 24 hours a day, 7 days a week
- AmeriHealth Caritas 1-888-756-0004 Available 24 hours a day, 7 days a week.
- Healthy Blue 1-844-521-6941 Available Monday Friday, 7:00 a.m. – 7:00 p.m.
- Louisiana Healthcare Connections 1-866-595-8133 Available Monday Friday, 7:00 a.m. – 7:00 p.m.
- UnitedHealthcare Community 1-866-675-1607 Available Monday Friday, 7:00 a.m. 7:00 p.m
What Is Healthy Louisiana
Healthy Louisiana is the way most of Louisiana’s Medicaid recipients receive health care services. As soon as you or family members are eligible for Medicaid, you need to choose a Healthy Louisiana Health Plan to manage your or your family members health care. If you do not choose a health plan, Healthy Louisiana will choose one for you or your family. Compare health plans to find the best plan for you. If you have questions, call Healthy Louisiana at 1-855-229-6848 .
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What If I Think A Decision You Make Is Unfair Incorrect Or Made Too Late
You have the right to appeal the Medicaid decision. There are several ways to request an appeal. You can write the reason you disagree with the decision on the back of the decision letter and then mail or fax it to Medicaid as directed on the letter. You can also fax the decision letter to the Division of Administrative Law at 225-219-9823 or mail it to the Division of Administrative Law, Department of Health Section, P. O. Box 4189, Baton Rouge, LA 70821-4183. You can request an appeal by phone by calling Medicaid Customer Service at 1-888-342-6207 or the Division of Administrative Law at 225-342-5800.
