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Bureau of Health Services Financing (Medicaid)
LaCHIP Inquiry Form

LaCHIP Inquiry Form

My inquiry concerns Finding a doctor/dentist on LaCHIP
Invite LaCHIP to speak to my business organization
Status of my LaCHIP application
Replacement Medicaid card
LaCHIP Web site
Complaints
Other

Name

Address

City

State

Zip Code

Parish

Phone Number Please enter in XXX-XXX-XXXX format.

My question/comment

LaCHIP Inquiry Form

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein