Enrollment & One-e-App

header-title-decorationEnrollment & One-e-App

Enrollment & One-e-App

Enrollment & One-e-App 150 150 swanand

1.  30-Day Waiver
2.  Provider Bulletin With Instructions
3.  Enrollment / Renewal Form.
4. Temporary Enrollment and Renewal Process Q&A
5. Temporary Enrollment Flowchart
6. 30-Day Waiver Extension CP
7. 30-Day Waiver Extension Enrollment Entities

One-e-App (OEA) is the eligibility and enrollment web-based system used by Health Services for submitting My Health LA electronic applications. Community Partners will enroll and renew participants exclusively through this County approved system. No paper applications will be accepted. OEA is designed to screen and refer applicants to other publicly funded health programs as needed.

  1. MHLA Eligibility and Enrollment Training Rev August 2021
  2. MHLA Eligibility Review Requirements Rev May 2017
  3. MHLA Household Composition Rev May 2017
  4. Income Calculation Guidelines Rev Jun 2016

Health Services Office of Patient Access & Health Services Patient Linkage Process

The MHLA Program Office works closely with Health Services Office of Patient Access (OPA) to streamline the Health Services patient referral process to Community Partners (CPs). The following documents are utilized in this process. Please direct any questions regarding this project to the My Health LA (MHLA) Program Advocates.

New Empanelment Request Form (NERF)

  • CP/Health Services Patient Linkage Project Fact Sheet (CP Guidance-not for patients) Updated Oct 2018 – This informational flyer explains the patient referral process of enrolling Health Services patients into MHLA.
  • The Primary Care Linkage Form New Jul 2018. – This is the newly revised document that is sent securely to the MHLA CP clinics with the list of Health Services patients to contact for enrollment in MHLA.
  • If your clinic is unable to accept a MHLA patient referral for clinical reasons, please download and complete this affidavit (Revised Aug 2016) and return it to the MHLA program office as instructed on the form.

Clinic Status List:

To learn whether a clinic is accepting new participants, click  here  for the Community Partner Open/Closed Status List.