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Louisiana Medicaid Eligibility Manual Category

Issued June 28, 2017

Page 3 of E-0000 Revised/added text indicated by underscore

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The Personal Responsibility and Work Opportunity Act of 1996 (P.L. 104-193) eliminated the AFDC program and replaced it with a block grant program for temporary assistance for needy families (TANF). The law also established a new mandatory Medicaid eligibility group for low- income families with children (LIFC) using the AFDC State Plan in effect July 16, 1996 for eligibility criteria effective with the date the State implemented its TANF program (10-1-96 in Louisiana).

The Affordable Care Act of 2010 established a new Medicaid eligibility group called Parents and Caretaker Relatives (PCR). These adults were formerly considered for the Low Income Families with Children (LIFC) program as a parent or caretaker relative.

E-230.1 Reserved

E-230.2 Reserved

E-230.3 Pregnant Women

The individual must have been pregnant during the months which assistance is requested. The 60-day postpartum period is considered as part of the pregnancy. Therefore, assistance may be requested retroactively for the postpartum period.

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E-231 RESERVED

E-240 DISABLED (D)

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SSA defines disability as the inability to engage in any substantial gainful activity:

 By reason of any medically determinable physical impairment or mental impairment; and

 That can be expected to result in death or has lasted or can be expected to last for a period of not less than 12 consecutive months.