This page also contains information on additional actions that may be required after the application is submitted.
Some items have an asterisk (*) next to them, indicating they are mandatory. You must fill in these items before you can continue to the next page.
Click the Print button to print this page for your reference.
Click the Next button to save and continue with the online Redetermination/Change Report/LaCAP Re-enrollment.
Click the Previous button to view the previous page.
Click the Save & Exit button to exit the online Redetermination/Change Report/LaCAP Re-enrollment and save your progress on your Redetermination/Change Report/LaCAP Re-enrollment. The
Redetermination/Change Report/LaCAP Re-enrollment is saved as Incomplete.
For Redeterminations Only
This page explains additional programs and services for which the applicant may be eligible such as no cost health insurance for children and other resources and services the applicant can be referred to by completing the Needs Assessment section.