LaHIPP is a Medicaid program that benefits providers by allowing a higher reimbursement rate from the employer-sponsored insurance (ESI) and by billing Medicaid secondary for patient out-of-pocket costs. Providers can increase LaHIPP enrollment by informing their Medicaid patients about the program. Applications and brochures are accessible for download online for the provider's office to distribute to Medicaid patients.
Who can we contact for questions?
Does a Medicaid member need to be enrolled in an employer-sponsored health insurance policy before applying for LaHIPP?
No. A Medicaid member must have access to a health insurance policy. The Medicaid member may enroll in an employer-sponsored insurance (ESI) plan after applying for LaHIPP, and the case has been determined to be cost effective.
Once enrolled in LaHIPP, does the Medicaid member lose Medicaid benefits?
No. The ESI becomes the primary insurance and Medicaid is secondary.
What about the Healthy Louisiana plans?
If a Medicaid member has been enrolled in the LaHIPP program, the member is disenrolled from the Healthy Louisiana plan for physical health services but remains enrolled for behavioral health and NEMT (Non-emergency medical transportation) services. The ESI is the primary insurer and Medicaid is secondary. Medicaid is billed as fee-for-service.
Is retroactive coverage available?
Retroactive coverage only applies to newborns.
What about copays, co-insurance and deductibles?
The LaHIPP program covers the out-of-pocket costs for the Medicaid member. If the policyholder or family member is not a Medicaid member, the policyholder or family member would be responsible for out-of-pocket costs.
Where do I check for LaHIPP enrollment?
Check the Medicaid Eligibility Verification Systems (MEVS) or the Recipient Eligibilty Verification System (REVS) and confirm that the Medicaid member is enrolled in LaHIPP in the Health Benefit Plan Coverage section.
REVS toll-free telephone number: 1-800-776-6323
How can I be sure the LaHIPP member still has their employer-sponsored insurance?
Always check eligibility for ESI, Medicaid and LaHIPP at the time of service.
How can I help a Medicaid patient find out about LaHIPP?
There are a few ways for a Medicaid patient to learn more about LaHIPP:
- Brochures in your office
- Toll-free number: 1-855 618-5488
- Website: http://ldh.la.gov/lahipp