Common Contracts

THE LOUISIANA MEDICAL ASSISTANCE PROGRAM (Louisiana Medicaid Program) MANAGED CARE ORGANIZATION (MCO) REGISTRATION PACKET

March 13th, 2015

• Filed
  March 13th, 2015

Copy of voided check or letter from the bank on bank letterhead verifying the account and routing number for the account to which you wish to have your funds electronically deposited (deposit slips are not accepted).