Official Louisiana State Websites use .la.gov 
Secure .gov websites use HTTPS LDH is moving forward with a plan to distribute food benefits on EBT cards. If the USDA, who administers the SNAP program, is prepared and ready to move money into states’ accounts, we will use federal dollars to fund SNAP recipients’ accounts. If they are not ready, LDH will proceed with our state-funded program to provide food assistance to the elderly, the disabled, and households with children through their existing EBT cards.
Pharmacy Templates for Managed Care Organizations
Lock-In Templates
- Approval of PCP and Rx (Updated May 2020)
- Approval of PCP and Rx Denial (Updated May 2020)
- Approval of Rx and PCP Denial (Updated May 2020)
- Approval of Rx Only (Updated May 2020)
- Assignment of PCP and Rx (Updated May 2020)
- Denial of PCP and Rx (Updated May 2020)
- Denial of Rx Only (Updated May 2020)
- Notification of PCP and Rx (Updated May 2020)
- Notification of Rx Only (Updated May 2020)
- Notification of Rx Only add PCP (Updated May 2020)
- Provider Universal Approval-Denial (Updated May 2020)
- Removal from Program PCP and Rx (Updated May 2020)
- Removal from Program Rx Only (Updated May 2020)
- Request for Call Back PCP and Rx (Updated May 2020)
- Request for Call Back Rx Only (Updated May 2020)
Other Pharmacy Related Member Communication Templates
- Member 60 Day Negative Change Notice (Updated May 2020)
- Negative PDL Change Notice (Updated October 2020)