LaHIPP

No, you will not lose your Medicaid eligibility if found eligible for LaHIPP.

The covered Medicaid Services Chart may be found at this link.

No. There is no cost to apply for LaHIPP.

If you lose your job, please notify us immediately. Our toll-free number is 1(877) 697-6703.

Yes.

Change may not be necessary, as long as your provider is an in-network provider for your insurance plan and they will bill Medicaid.

A list of Medicaid providers can be found here.

The policy holder. The state will reimburse your premium payments via direct deposit or mail you a check each month as long as you continue to qualify for LaHIPP.

Download an application here

Please refer to the Rights & Responsibilities page of your application.

Let your doctor know you are enrolled in LaHIPP and be sure to give both the Medicaid and health insurance benefit cards at check-in.

LaHIPP will pay the out-of-pocket costs for the Medicaid members enrolled in the program. If someone on the policy does not have Medicaid, they are responsible for the copays, coinsurance and deductibles.

You will need two forms:

The first is for your employer, the Employer Health Insurance Information Form and the second is for you to sign and return agreeing that you understand the program and will comply with the program guidelines. It is the Rights and Responsibilities Form, which is part of the LaHIPP application.

Section 311 of CHIPRA allows a special enrollment period for employees under group health plans in case of termination of Medicaid or CHIP coverage or eligibility for assistance in purchase of employment-based coverage.  The LaHIPP program falls under the latter provision.

An employee must request coverage under the health plan no later than 60 days after the date the employee or dependent is determined to be eligible for assistance.

Employers must provide employees written notice of premium assistance available for qualifying health plans in their state of residence. An employer may provide notice concurrent with materials provided to the employee in connection with an open enrollment season or election process under the plan, or concurrent with the furnishing of the summary plan description.

The Secretary of Labor may assess a civil penalty against any employer of up to $100 a day from the date of the employer's failure to meet the notice requirement (of section 701(f)(3)(B)(i)(I)) ... each violation with respect to any single employee shall be treated as a separate violation.

Your employee will request information from you regarding health plans and monthly premiums. They will need you to complete a health insurance form and provide an HR contact for LaHIPP to verify the information provided. They will also need the employee premium amount for each plan by tier. Insurance information should include the insurer name, address, phone number and group number. The health insurance form can be found here.

Yes, if LaHIPP determines the case to be cost effective, COBRA premiums are eligible for premium payment.

In most cases, the policyholder will receive the payments.

You can call LaHIPP toll-free at 1(877) 697-6703.