Form Instructions 4797 online Baton Rouge Louisiana 2024-2025

Form Instructions 4797 online Baton Rouge Louisiana: What You Should Know

Note: Louisiana is now using DSS, not DSS. Note: Some Louisiana counties have eliminated the requirement to submit the EPR SS Certificate of Beneficiary to the Department of Health and Hospitals in order to receive WIC. This means that the applicant will need to apply for a WIC Card (Form WINDS). Inspection and Examination Fee. This fee is used to cover the cost of performing an additional inspection of the property. If the state finds that there is need for an investigation, the fee is 9. To schedule an inspection and examination (and to do an assessment of property) please call the Department of State Health Services at. Fees are subject to change. Additional Forms and Information: The following information is for Louisiana residents only. Louisiana Revised Statute Section 12.31(A)(13) defines a “qualifying patient” as “a person who the physician certifies, who is enrolled in a qualified health plan under this Chapter, for a period of at least 60 days, is capable of self-direction of his or her affairs, is unable to make medical decisions on a regular basis due to a physical or mental disfigurement, or developmental disability, and who is under a treatment plan maintained by the physician, has a physician's order or medical certification that is consistent with the requirements of this Chapter, that is reviewed and approved by the State Board of Health and is continuing in effect, including a physician's order or medical certification that requires medication treatment or a prescription.” Louisiana Revised Statute Section 12.31(A)(14) defines a “qualified health plan” as “a health plan that is organized and operated for the enrollment in or coverage for individuals who are primarily engaged in providing medical care in a physician's office or by a health maintenance organization.” “Organized and operated for the enrollment in or coverage for individuals who are primarily engaged in providing medical care” means that the health plan is “subsidized or otherwise sponsored by a governmental entity in which the Government or its agents participate,” is certified under federal law, and is maintained by a state agency. Louisiana Revised Statute Section 12.

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