Louisiana is behind on expanding Medicaid because the state refused to accept the extra federal money until Gov. John Bel Edwards took office in January. But an innovative approach by the Department of Health and Hospitals could allow tens of thousands of eligible residents to be approved almost immediately.

That could make a huge difference for those families and would jumpstart the state's effort to sign up an estimated 375,000 Louisianians expected to qualify for Medicaid under the expansion.

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