Louisiana Medicaid EDI Enrollment Instructions

This guide provides detailed instructions for enrolling in Louisiana Medicaid's Electronic Data Interchange (EDI) program. It outlines the necessary forms required for enrollment, specifically the EDI for Individual or Entity/Business forms and the 2025 EDI Annual Certification Form. The document specifies the submission process, including the requirement for original signatures and notarization. It details the mailing addresses for both the EDI Contract and the Annual Certification Form, which must be sent to Gainwell Technologies Provider Enrollment Unit in Baton Rouge, Louisiana. Additionally, the guide mentions the standard processing time of 3-4 weeks and advises recipients to expect a confirmation letter from Medicaid LA regarding their approval. It also includes contact information for inquiries and instructions for submitting the confirmation letter to Office Ally, including the necessary details to include in the email request.