PHARMACY PROVIDERS, PLEASE
NOTE!!!
The Outpatient Pharmacy Drug Search will allow providers and external users to search for payable drugs submitted as pharmacy claims.
The Outpatient Pharmacy Drug Search is available here.
The Medicaid program will cover only products of the manufacturers, which participate in the Federal Rebate Program.
If additional information is needed about a drug product, please contact the Gainwell Help desk at 1-800-648-0790.
For information regarding the medication policy and/or criteria associated with this denial, providers
may access the Louisiana Medicaid Preferred Drug List (PDL) / Non-Preferred Drug List at
http://ldh.la.gov/assets/HealthyLa/Pharmacy/PDL.pdf.
PROVIDER NOTIFICATION
For Claims denied with Edit 032, 291, 296, or 590 and pending for 296, click here.
ATTENTION PROVIDERS:
LDH has updated 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.
2025 Annual 1099 Notice for Providers
Louisiana Medicaid 2025 1099's will be distributed by U.S. Mail on
or before January 31, 2026. Electronic copies are now available
for download by going to the Louisiana Medicaid website,
www.lamedicaid.com,
Secure Portal, application link, Online 1099. If replacement
copies or additional copies are needed, providers must print them
from the website. If you feel there is an error on your 1099,
please contact Gainwell Provider Enrollment at 225-216-6370.
Prior year 1099's will be stored in the archive on
www.lamedicaid.com.