Have you been wondering how to review your LA Medicaid waiver? You’re in the right place. Without the right guidance, individuals can easily get lost in the process. This doesn’t have to be the case; in this article, we’ll cover the Medicaid waiver review process so you can determine if you need to request additional services. Read on!
How to Review Your Louisiana Medicaid Waiver
The Medicaid waiver review process is largely undefined, but there’s a systematic method you can use to get a good idea of the waiver’s effectiveness:
- Think about where you were health-wise at the beginning of 2024. Is your situation better, worse, or the same as before? The answer will be telling. Consider a situation where you got an LA Medicaid waiver to help with mobility. If you’re having more trouble getting around now than you did before, maybe your waiver didn’t provide sufficient support throughout the year.
- Look closely at your waiver documents to see which services you were approved for. How many of the services did you use? All of them? Just a few? Or none at all? If your waiver covered certain services but you couldn’t access them, it’s time to have a talk with your support coordinator. You may need to make some changes.
- Consider your network (doctors, facilities, or any other organizations where you receive care) to determine if they’re the right fit for you. Did you deal with issues like long wait times, unprofessional staff, misdiagnoses, poor communication, or spotty availability? If so, these are signs that your team may need to be updated. Also, consider whether you’re missing any providers you need on your team. Perhaps you don’t have, but could benefit from, a nutritionist or mental health professional.
Determine The Changes You Want to Make to Your Medicaid Waiver in 2025
Have you decided that your Medicaid Waiver hasn’t given you the support or resources you needed throughout 2024? Then, it’s time to make a change. Here are some common changes people request:
- Add specific services to a waiver based on need.
- Request new providers or remove/change existing providers.
- Gauge eligibility for a waiver that’s a better fit.
- Ask for help for a new health condition or concern.
How to Revise Your LA Medicaid Waiver in 2025
Begin by talking to your support coordinator. You can typically reach them by phone or email. Plainly tell them that you need additional waiver services and explain why.
Afterward, the support coordinator will schedule a meeting with your medical provider and fill out a Plan of Care (POC) revision form. The support coordinator will then send the POC revision form to the Local Governing Entity (LGE); they will make the final decision on your request for additional services. After the LGE has made its decision and shared it with your support coordinator, you’ll be notified.
Get Support from Your LA Medicaid Waiver Support Coordinator
If you have any questions at all about your Louisiana Medicaid waiver, your support coordinator is the person to tell. Their singular goal is to ensure you’re getting the most out of your Medicaid waiver. And they have the resources to help you do just that.
