Louisiana Medicaid EDI Enrollment Instructions

This guide details the enrollment process for Louisiana Medicaid's Electronic Data Interchange (EDI) system. It specifies that two forms are required for enrollment: the EDI form for individuals or entities and the 2026 EDI Annual Certification Form. The document provides essential contact information, including the submitter number and names of primary and secondary contacts, along with their email addresses and phone number. It emphasizes that all forms must be submitted with original signatures and notarization. The guide outlines the mailing addresses for the EDI contracts and the Annual Certification Form, both directed to Gainwell Technologies Provider Enrollment Unit. Additionally, it states that the standard processing time for enrollment is 3-4 weeks, and recipients will receive a letter from Medicaid LA confirming their approval. It also instructs recipients to confirm their linkage to Office Ally's Submitter ID and to email the necessary information along with the approval letter before submitting claims electronically.