Louisiana providers: New Medicaid enrollment requirements

August 2022

Participating providers in the UnitedHealthcare^® Community Vision Network / March^® Vision Network are required to enroll in Louisiana Medicaid, using Louisiana Medicaid's new Provider Enrollment Portal. This action is part of the requirements for the 21^st Century Cures Act. Enrollment is necessary to comply with federal laws and to continue to receive reimbursement for providing care to Medicaid members.

Louisiana Medicaid launched its new Louisiana Medicaid Provider Enrollment Portal to screen and enroll all Medicaid providers beginning on July 26, 2021. The portal was temporarily unavailable starting mid-January 2022 to make system edits to enhance security and was re-launched on Feb. 14, 2022.

What is the Medicaid Provider Enrollment Portal?

The Louisiana Medicaid Provider Enrollment Portal was designed to meet a Centers for Medicare and Medicaid Services (CMS) requirement and must be used by all Medicaid providers. The enrollment portal is accessible through Medicaid’s fiscal intermediary website. Additional guidance to help providers navigate enrollment can be found here. The site includes links to FAQs, manuals and training webinars, as well as contact information for providers with questions about enrollment.

Timeline for Completing the New Enrollment and Screening Process

All current providers must validate their information and sign the state’s provider participation agreement. The deadline for providers to submit an application to the Provider Enrollment Portal is Nov. 30, 2022. Any existing Medicaid provider that does not submit an application to initiate the screening process through the new portal will have their claims denied.

Invitations to Enroll

Gainwell Technologies, Louisiana Medicaid’s fiscal intermediary, has sent an invitation to the mailing address on file for current providers. Providers will need several data elements from this letter to complete their enrollment, including:

• Louisiana Provider ID
• NPI
• City, state and zip code

If a provider does not have this letter or this information, they can email LouisianaProvEnroll@gainwelltechnologies.com to request a reprinted letter be mailed.

Email requests must include the provider name and the NPI. Providers may send multiple provider requests in a single email. Reprinted letter requests will only be accepted by email. No other form of submission is accepted. Providers will receive a confirmation email from Gainwell when the submission is received. That email will include an anticipated turnaround time for the response.