IWeb User Guide

KIDMED (Louisiana)

This generates a KIDMED Medicaid form for a specific patient that can be completed online and printed. You must first search for and select a patient.

Generate the Form

To generate this form, click the Reports > State Reports > Patient Specific > KIDMED link. The KIDMED form displays in a separate browser tab. Complete the form as necessary and use the browser's print function to print it.

Example Form

The following image is of an example KIDMED form:

Related topics:

• Reports
• State Reports
• Generate a Report
• Schedule a Report

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