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Bureau of Health Services Financing (Medicaid)
Beneficiary Advisory Council (BAC) Membership Application

Beneficiary Advisory Council (BAC) Membership Application

The Beneficiary Advisory Council (BAC) will be an advisory group comprised of Louisiana Medicaid members, their families, and/or their caregivers. The purpose of the BAC is for individuals with Medicaid-lived experience to advise the Louisiana Department of Health (LDH) on matters related to Louisiana Medicaid policy and program development and implementation.

The BAC’s first meeting is estimated to occur in the beginning of Summer 2025. Exact meeting dates will be posted when finalized. The BAC will meet four times per year, with options for either in-person or Zoom attendance.

LDH also has a Medical Advisory Committee (MAC) and at least 10% of the MAC will consist of those selected to serve as BAC members. For those BAC members also serving on the MAC, there will be an additional four meetings per year. For more information about the MAC, please visit this page.

LDH invites Louisiana Medicaid members, their families, and/or their caregivers to apply to join the BAC by completing the application below. For any questions or comments, please email qualitycommittee@la.gov.

Name

Address House Number, Street, City, State, Zip Code

Phone Number

Email Address

What is the best way to contact you? Phone Number
Email

Are you related to someone who is currently serving on the Medicaid Advisory Committee? Yes
No

Please provide more details.

What parish do you live in?

Select the option that best describes your relationship with LA Medicaid. I am a current LA Medicaid member
I do not have LA Medicaid, but I am a family member, guardian, and/or caregiver of a current LA Medicaid member

Do you have a job where you work with Medicaid regularly? Yes
No

Please provide more details.

Do you or the Medicaid member receive home and community-based services? Yes
No

If Yes, select the service/program.

Routine attendance and participation is critical for BAC members to make sure the committee is able to accomplish its goals. Are you able to attend BAC meetings every three months (meeting times are approximately 1.5 hours)? Yes
No

Please provide more details.

Select all that best describe your availability to attend virtual meetings. Weekdays
Weekends
During regular business hours (8a – 5p CST)
Outside of regular business hours (after 5p CST)

If you are selected, would you be interested in committing to a 2-3 year seat on the Beneficial Advisory Council (BAC)? Yes
No
Maybe

Members may participate in BAC meetings virtually by computer or in-person. Will you need accommodation(s) to be able to join virtual and/or in-person BAC/MAC meetings? Yes
No

Please describe the needed accommodation(s)

How comfortable are you with sharing your thoughts and opinions on your experiences receiving services through Medicaid in a meeting setting? (Examples: what you feel could be better, suggestions for improvements to services, highlighting problems and barriers, etc.)

Are you interested in also serving on the Medicaid Advisory Committee (MAC)? Yes
No
Maybe

Do you have any additional comments you would like to share?

Surgeon General Evelyn Griffin, MD

Secretary Bruce D. Greenstein

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