LaMOMSPrint this page PrintEmail this page Email



Home
Español
Application Centers
Contact Information
Events
For Providers
Frequently Asked Questions
Inquiry Form
Links
Parish Offices
Providers
Publications / Applications
Services

Get an application for LaMOMS
Services
Report Fraud, Abuse, and Complaints




LaMOMS Application

Wednesday, October 22, 2008

 

APPLY OR RENEW LAMOMS ONLINE

You can now apply for LaMOMS online with our easy-to-use online Medicaid application.

You can use the online Medicaid application to apply for all Medicaid programs including LaMOMS!  Your online applications will be processed faster because once you click ‘submit’ it goes immediately to the local office where your application will be processed. To access the online application, click here.

If you prefer to apply for LaMOMS by filling out a paper application form, you can download the form listed below, print it and then mail or fax it to us.

After you have filled out

the form, mail or fax it toll-free to:

LaMOMS

P.O. Box 91278

Baton Rouge, LA 70821-9278

FAX #: 1-877-LA FAX US (523-2987)




Developed by
Virtual Forum
Privacy PolicyDisclaimerDHH Webmaster DHH HomeTop