Documents & Links Patients Accepted Insurance Providers Documents/Forms & Links Education Center Payment Portal – Louisiana Payment Portal – Mississippi Accepted Insurance Providers Documents/Forms & Links Education Center Payment Portal – Louisiana Payment Portal – Mississippi Documents/Forms LTC New Admission Referral Form – LouisianaLTC New Admission Referral Form – MississippiPharmacy AuthorizationIndividual Resident Narcotic RecordControlled Substance Power of Attorney FormPrice Request Form – LouisianaPrice Request Form – Mississippi External Links Alzheimer’s AssocationAmerican Society of Consultant PharmacistsCenters for Medicare & Medicaid Services WebsiteCystic Fibrosis FoundationDepartment of Health & Hospitals, State of Louisiana WebsiteDiabetes FoundationDrug Enforcement Administration WebsiteFederal Register Website Healthcare Quality Association on Accreditation (HQAA)Medicare Website Medicare Part D CoverageU.S. Food and Drug Administration WebsiteWorld Health Organization Louisiana Resources Louisiana Medicaid WebsiteLouisiana Nursing Home Association (LNHA)State Operations Manual-Appendix PP Mississippi Resources Mississippi State Department of HealthMississippi Health Care AssociationMississippi MedicaidQS1 Webconnect
