Medicaid Provider Alerts
Louisiana Medicaid Pharmacy Winter Storm Preparation – January 2026
2025 Annual 1099 Notice for Providers
HCBS Provider Claims Update - 12/18/25
Claims previously denied with error code 194 for the 12/16/25 check write have now been recycled. Paper checks are being issued and will be sent via overnight delivery, with an expected arrival date of 12/18 or 12/19. Payments will be mailed to the "Pay-To Address" listed in the provider enrollment record, which is also the address listed on the Remittance Advice. Please be aware that providers with a P.O. Box on file will receive their checks on or after 12/19 because USPS can't guarantee overnight delivery.
The Provider Enrollment Portal remains open for providers who have not yet submitted an application. Click on the banner below to begin.
For Claims denied with Edit 032, 291, 296, or 590 and pending for 296, click here.
NOTE: LDH is updating its payment processing method to “Same Day ACH” as of March 18, 2025. For Same Day ACH payments, processing may occur at different times throughout the business day due to bank processing windows. Be aware that payment may be delayed if federal funds are not received by distribution date/time.
ATTENTION ALL
Beginning March 3, 2025, non-compliant claims will be returned for correction and resubmission.
For questions, contact Gainwell Provider Relations at 1-800-473-2783 or 225-924-5040. Click here for detailed information.
Gainwell worked with Optum and Change Healthcare to provide alternative access to billing providers impacted by the ChangeHealth breach on or around February 22nd. Gainwell is continuing to work with Optum on resolving Pharmacy POS billing. If you are a provider billing medical claims who is impacted and has not contracted an alternative submitter, please contact Gainwell Provider Enrollment by email or phone at
louisianaprovenroll@gainwelltechnologies.com or (833) 641-2140.
Recent Policy
Provider Enrollment Portal Webinars 08/06/21 (Revised 04/01/25)
Implementation of the New 2026 HCPCS Codes 04/21/26
Maternal Care Providers: Register for OPH Act 437 Webinar 03/31/26
School-Based Medicaid Program – Guidance to Resolve 047 Claims Denials 02/20/26
Clear Claim Connection Availability 02/04/26
2025 Annual 1099 Notice for Providers 01/22/26
2026 Healthcare Common Procedure Coding System Update 01/16/26
Doula Provider Enrollment Packet Now Available 12/22/25
Attention Providers/Submitters of Electronic Claims – 2025 Holiday Cutoff Dates for Receiving Electronic Claim Files 11/12/25
Retiring EPSDT Preventive Services Fee Schedule 10/22/25
LTC Monthly Processing Schedule for Calendar Year 2026 10/2/25
Medicaid Checkwrite Schedule for Calendar Year 2026 10/2/25
Notice to Local Educational Agency (LEA) Providers - Procedure Code 99173 – EPSDT Vision Screening Rate Correction 09/11/25
Attention LEA Providers: Behavioral Health Procedure Codes Added to the School-Based Medicaid Program 08/29/25
Fee Schedule Access Issue 08/29/25
Louisiana Medicaid Increased Physician Reimbursement Rates Beginning July 1, 2025 07/29/25
Attention LEA Providers: Guidance on Occupational Therapy Coverage and Requirements for the School-Based Medicaid Program 07/22/25
Personal Care Needs Allowance and Optional State Supplement Amounts Increasing July 1, 2025 07/03/25
Additional Web Notices
Disclaimer
The Louisiana Department of Health and Hospitals and Gainwell Technologies have created this website to make information more accessible to Medicaid providers. At this online location, providers can access information ranging from how to enroll as a Medicaid provider to directions for filling out a claim form.
In addition, providers can have direct contact with the Gainwell Technologies Field Analyst assigned to their area or find information on provider training. Select the Provider Support link in the table of contents on the left side of the screen to find your representative.
Some questions you might have are already answered on our FAQ page. Visit it by using the link located on the index to your left. Click on any of these items to learn more about the Louisiana Medicaid Program.
As you move throughout the site, please note that we have included links to numerous useful websites. These sites are maintained independently of the Department of Health and Hospitals. Availability of these sites is not the responsibility of DHH.
Questions about this website may be directed to Gainwell Technologies Provider Relations at (800) 473-2783 or (225) 924-5040.
We recommend viewing this site with the latest version of Internet Explorer.