Guidance for Medicaid Applications and Processing
Providing insight into the completion of Medicaid applications, addressing issues with the submission of forms, reminders for required documentation, and instructions on handling instances of a 'No Decision Message' in the application process. Trusted users are urged to follow guidelines and avoid fraudulent activities.
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Application Center Monthly Contact May 18, 2022 Valerie McManus, AC Program Monitor
Agenda Items 152-N- Request for Newborn Medicaid ID Number Completing Applications No Decision Message POLL Reminders
152-N Request for Newborn Medicaid ID Number Trusted Users have reported issues with submitting the 152-N Request for Newborn Medicaid ID Number forms on the Provider Portal. We will work with our technical team to get the issues resolved as accurately and efficiently as possible to avoid further processing delays.
152-N Request for Newborn Medicaid ID Number (con.) There has been a recent influx in the number of calls to the Customer Service Unit from Medicaid mothers who are calling to add to their newborns to Medicaid. If the 152-N form cannot be submitted, please advise the mother that she may provide the newborn s birth announcement/birth certificate verification along with verification that the baby s social security number was requested. The documents may be submitted to the Newborn Eligibility Unit (NEU) via one of the methods below. Fax- 1-877-747-0986 Email- NEU@la.gov
Completing Applications Please list all household (HH) members on applications and ensure that the relationships are accurately reflected. This includes HH members that are already on Medicaid as well as those that are not interested in applying. Social security numbers for all household members will need to be included on the applications as well, if they are readily available. Trusted Users are strictly prohibited from coaching applicants in any way. Coaching can result in purposeful omission of vital application data, which is considered fraudulent activity.
No Decision Message There may be instances where a No Decision message populates on your dashboard instead of an approval or denial decision. This is a result of the applicant having existing coverage. Our eligibility system will convert the new application to a case change. Medicaid does not reimburse application centers for case changes.
Reminders AC Resource Library Check it DAILY Ensure you log into the PARTNER portal and not the Public or Provider portal. Adhere to Medicaid guidelines Trusted Users must conduct Face-to-Face interviews For issues with newborns, email NEU@la.gov EMS Submit medical records immediately upon receiving the denial due to non-citizenship. For aged EMS claims, email the EMS Aged Claims Status Request form (found on the AC Resource Library) to MEDT@la.gov. AC Meetings are conducted on your behalf. Attendance is required and participation is encouraged.
Application Centers (AC) ApplicationCenter.Service@la.gov (225) 342 6312 Valerie McManus Optional State Supplement (OSS) OSS@la.gov (225) 342 1646 Paige Logan Medical Eligibility Determinations Team (MEDT) MEDT@la.gov Shauna Meche Outstation Outstation@la.gov (225) 342 1646 Paige Logan Medicaid Outreach MedicaidOutreach@la.gov Newborn Eligibility Unit (NEU) NEU@la.gov Antoinette Rubin EPO Programs Manager US Consulting On-screen M WHT_R1.5V_1208.ppt Darrell.Curtis@la.gov Darrell Curtis
Questions US Consulting On-screen M WHT_R1.5V_1208.ppt
