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