Health Plan Notification Form for Providers
Providers: If you are contracted with one or more Bayou Health Plans, you may use the forms below to let your Medicaid patients know the Plans in which you are a participant. The forms are available in black & white and color, and in various sizes.
|Color - 1 per page||B & W - 1 per page|
|Color - 2 per page||B & W - 2 per page|
|Color - 4 per page||B & W - 4 per page|