Page 11

Medicaid Eligibility Manual Abbreviations/Acronyms/Definitions

Issued November 13, 2025 Page 11 of A-200 Replaces January 27, 2025

Revised/added text indicated by underscore Deleted text indicated by “**”

Louisiana Health Insurance Premium Payment (LaHIPP) – A program which pays for employer sponsored group health insurance for Medicaid eligible persons when it is determined to be cost effective. “Cost effective”, as applicable to this program, means that it would cost less for Medicaid to pay the health insurance premium for the beneficiary than it would be to pay for the cost of the same person’s medical expenses if they didn’t have insurance.

Louisiana Medicaid Eligibility Determination System (LAMEDS) – The management information system for LDH that maintains records of individuals eligible for Medicaid. The system supports eligibility data for all current programs and transmits the eligibility information to the MES.

Louisiana State Health Insurance Information Program – Provides education and advocacy through local sponsoring organizations to both retired and pre-retirement age seniors as well as their families. The program offers free and confidential help with Medicare, private health insurance to supplement Medicare, and long-term care insurance options. Counselors have information on other resources, agencies and organizations that provide services to seniors.

Lump Sum – A non-recurring cash payment.

M

Modified Adjusted Gross Income (MAGI) – A methodology used to determine financial eligibility for Medicaid, Children’s Health Insurance Programs (CHIP), Cost sharing reductions, and Advanced premium tax credits (APTC) through the Federally Facilitated Marketplace (FFM).

Maintenance Needs Allowance – The maximum amount of income that can be allocated to a long-term care community spouse and/or legal dependents.

Mandatory State Supplement – A payment made to aged and disabled grandfathered beneficiaries who at the time did not have income for living expenses to allow them an amount equal to the SSI income standard.

Mass Change – Occurs when the federal or state government initiates a change in a program or a requirement that affects all cases with certain characteristics.

Medicaid Enterprise System – Fiscal Intermediary for the State of Louisiana.

Medicaid Purchase Plan – This program provides affordable health coverage to