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Medicaid/Lac HIP Office
PO BOX 91278
Baton Rouge, LA, 70821FORMDEPARTMENT OF HEALTH AND HOSPITALS
Expansion Notice
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ROSMUTWX IKMHMFTD HOME
FISCALLY HVPXSKNM St
MONROE, LA, 7120302/13/2016
4790852267Dear
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How to fill out lachip
How to fill out lachip
01
To fill out LACHIP, follow these steps:
02
- Visit the LACHIP website or go to your local Department of Health and Hospitals office to obtain the application form.
03
- Fill out the form completely and accurately. Provide all required information, such as personal details, income information, and household details.
04
- Attach any necessary supporting documentation, such as proof of income, identification documents, and proof of residency.
05
- Submit the completed application and supporting documents either by mailing it to the specified address or by hand delivering it to the appropriate office.
06
- Wait for the application to be processed. You may be contacted for additional information or an interview.
07
- Once approved, you will receive notification and an enrollment package with further instructions.
08
- Follow the instructions in the enrollment package to complete the enrollment process and start accessing LACHIP benefits.
Who needs lachip?
01
LACHIP is designed for individuals and families in Louisiana who meet certain income and eligibility requirements and need affordable health insurance coverage for themselves and their children. It is particularly targeted towards low-income families, pregnant women, and children who do not qualify for Medicaid.
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What is lachip?
LACHIP stands for Louisiana Children's Health Insurance Program, which provides health insurance to uninsured children in Louisiana.
Who is required to file lachip?
Families with children who are uninsured and meet income eligibility requirements are required to file for LACHIP.
How to fill out lachip?
To fill out LACHIP, applicants must complete the online application or paper form, providing necessary information about their family size and income.
What is the purpose of lachip?
The purpose of LACHIP is to provide access to affordable health care services for children in low-income families.
What information must be reported on lachip?
Applicants must report information including household income, family size, and personal details of each child being enrolled.
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