• Healthy Louisiana

    You may now be eligible for Medicaid. The Louisiana Medicaid program is now called Healthy Louisiana (formerly known as Bayou Health).

    Apply for LA Medicaid today

Become a member

When you need care, Aetna Better Health is here

Aetna Better Health of Louisiana is committed to meeting the health care needs of you and your family. We welcome you to explore our website. Our goal is to provide you with providers and services that will give you what you most need and deserve:

  • Quality health care
  • Respect
  • Excellent customer service

Some people who are eligible for Medicaid must pick a Healthy Louisiana, formerly Bayou Health, plan. These mandatory populations include:

  • Children under nineteen (19) years of age including those who are eligible under Section 1931 poverty-level related groups and optional groups of older children in the following categories:
    • TANF - Individuals and families receiving cash assistance through FITAP (Families in Temporary Need of Assistance)
    • CHAMP-Child Program
    • Deemed Eligible Child Program
    • Youth Aging Out of Foster Care
    • Former Foster Care Children
    • Regular Medically Needy Program
    • LaCHIP Program
  • Parents and caretaker relatives eligible under Section 1931 of the Social Security Act including:
    • Parents and Caretaker Relatives Program
    • TANF (FITAP) Program
    • Regular Medically Needy Program
  • Pregnant women - Individuals whose basis of eligibility is pregnancy, who are eligible only for pregnancy related services [42 CFR§440.210(2)] including:
    • LaMOMS (CHAMP-Pregnant Women)
    • LaCHIP Phase IV Program
  • Breast and Cervical Cancer (BCC) Program
  • Aged, Blind and Disabled Adults – Individuals who do not meet any of the conditions for exclusion from participation in an MCO, including:
    • Supplemental Security Income (SSI) Program
    • Extended Medicaid Programs
      • Disabled Adult Children
      • Early Widows/Widowers
      • Pickle – (ABD Persons who become ineligible for SSI or MSS)
      • Disabled Widows/Widowers and Disabled Surviving Divorced Spouses Unable To Perform Any Substantial Gainful Activity
      •  Blood Product Litigation Program
      • Medicaid Purchase Plan Program
      • Provisional Medicaid Program
  • Continued Medicaid Program
  • Individuals receiving TB related services through the TB Infected Individual Program

Enrolling in a Healthy Louisiana, formerly Bayou Health, plan is optional for some people. Voluntary opt-in populations have the choice of whether or not to join a Healthy Louisiana plan. You can enroll at any time by contacting Healthy Louisiana. If you do enroll in a Healthy Louisiana plan, you can disenroll at any time. If you disenrolled from Healthy Louisiana in the past, you will have to wait until the annual open enrollment period to enroll again.

Medicaid populations that have the option to join Healthy Louisiana are:

  • Individuals receiving services through any 1915(c) Home and Community-Based Waiver including, but not limited to:
    • Adult Day Health Care (ADHC) - Direct care in a licensed adult day health care facility for those individuals who would otherwise require nursing facility services
    • New Opportunities Waiver (NOW) – Services to individuals who would otherwise require ICF/DD services
    • Children’s Choice (CC) - Supplemental support services to disabled children under age 18 on the NOW waiver registry
    • Residential Options Waiver (ROW) – Services to individuals living in the community who would otherwise require ICF/DD services
    • Supports Waiver – Services to individuals 18 years and older with mental retardation or a developmental disability which manifested prior to age 22
    • Community Choices Waiver (CCW) – Services to persons aged 65 and older or, persons with adult-onset disabilities age 22 or older, who would otherwise require nursing facility services
    • Other Home and Community Based Services (HCBS) waivers as may be approved by CMS
  • Individuals under the age of 21 otherwise eligible for Medicaid who are listed on the Office for Citizens with Developmental Disabilities’ (OCDD’s) Request for Services Registry who are Chisholm Class Members.

Some people will be automatically enrolled in a Bayou Health plan. These are called voluntary opt-out populations because they can disenroll within 90 days of initial enrollment and during the annual open enrollment.

These members include:

  • Children under nineteen (19) years of age who are:
    • Eligible for SSI under title XVI of the Social Security Act
    • Eligible under Section 1902(e)(3) of the Social Security Act
    • In foster care or other out-of-home placement
    • Receiving foster care or adoption assistance
    • Receiving services through a family-centered community-based, coordinated care system that receives grant funds under Section 501(a)(1)(D) of title V of the Social Security Act, and is defined by the DHH in terms of either program participation or special health care needs
    • Enrolled in the Family Opportunity Act Medicaid Buy-In Program
  • Native Americans who are members of federally recognized tribes

Individuals in an “excluded population” may not enroll in the Healthy Louisiana Program. “Excluded populations” include:

  • Individuals residing in Nursing Facilities (NF) or Intermediate Care Facilities for People with Developmental Disabilities (ICF/DD)
  • Individuals who receive both Medicaid and Medicare (Medicare dual eligibles)
  • Individuals enrolled in the Program of All-Inclusive Care for the Elderly (PACE), a community-based alternative to placement in a nursing facility that includes a complete “managed care” type benefit combining medical, social and long-term care services
  • Individuals with a limited eligibility period including:
    • Spend-down Medically Needy Program – An individual or family who has income in  excess of the prescribed income standard can reduce excess income by incurring medical and/or remedial care expenses to establish a temporary period of Medicaid coverage (up to 3 months)
    • Emergency Services Only - Emergency services for aliens who do not meet Medicaid citizenship/5-year residency requirements
    • Individuals enrolled in the Family Planning Program that provides family-planning-services-only

If you are already enrolled in Medicaid and want to pick or change Healthy Louisiana plan, call the Healthy Louisiana enrollment broker at 1-855-229-6848 or visit their website.

If you want to apply for Medicaid, call DHH’s Medicaid Hotline at 1-888-342-6207 (TTY 711). Aetna Better Health of Louisiana is contracted with DHH to provide Healthy Louisiana members health care.

Thanks to Healthy Louisiana, more residents can get Medicaid coverage than ever before. It’s the state’s new expansion program—open to adults without children and many others.

Louisiana residents, ages 19-64 not already enrolled in Medicaid and not eligible for Medicare may apply. They must have a household income below $16,395 per year for an individual or $33,534 per year for a family of four. See online for more household income thresholds.