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Hurricane Katrina Disaster Assistance to Displaced Louisiana/Mississippi/Alabama Medicaid Members

In an effort to assist displaced Louisiana, Mississippi, and Alabama Medicaid members, Georgia Medicaid providers may enroll in these Medicaid Programs. Contact information is as follows:

Louisiana

• Louisiana Pharmacy Provider Enrollment Packet
• Louisiana Provider Enrollment Packet
• LA Provider Enrollment: 225-216-6370 or 1-800-473-2783
• LA Provider Enrollment Fax Number: 225-216-6335
• Hospitalization Prior Authorization: 1-800-488-6334
• General Assistance for LA Medicaid Pharmacy Questions: 225-342-9768
• LA Pharmacy Point of Sale Help Desk: 1-800-648-0790 or 225-216-3381

PLEASE NOTE: It is only necessary to complete the basic enrollment packet and not the Pharmacy Emergency Enrollment due to Hurricane Katrina application. Also, the dispensing cost survey and point of sale form are not required at this time.

Mississippi

• Mississippi Medicaid Web Portal for Provider Enrollment:  1-800-884-3222 or 601-206-3000

Georgia

• Georgia Health Portal

-We continue to receive regular updates so please check this website location frequently.