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Louisiana Medicaid Eligibility Manual Category

Issued June 28, 2017

Page 5 of E-0000 Revised/added text indicated by underscore

Deleted text indicated by “**” E-270 REFUGEES (E)

Individuals who have entered the United States as refugees. Eligibility must be determined for existing Medicaid programs first. If the refugee is not eligible for an existing program, then eligibility is determined for the time-limited Refugee Medical Assistance (RMA). Those refugees who receive cash benefits through the Refugee Resettlement Agency are automatically eligible for RMA.

E-280 ADULTS

The Affordable Care Act (ACA) of 2010 established a new Medicaid eligibility group for individuals age 19 through 64, hereafter referred to as the Adult Group.

E-300 CATEGORIES FOR WHICH BHSF DOES NOT DETERMINE ELIGIBILITY

BHSF ** does not have responsibility for eligibility determination for ** Categories F, I, O, and V. E-310 Reserved

E-320 CATEGORY F

The Department of Children and Family Services (DCFS) has responsibility for determining eligibility for children in state custody who are certified in these cases.

Category F refers to children directly served by DCFS. DCFS has responsibility for determining eligibility for these cases. Policy used to determine eligibility is contained in the Children, Youth, and Family Services (CYFS) Financial Assessment Manual.

This category includes minors under the age of 18 who are:

 Foster children whose income and resources are at or below the PCR standard, but are not Title IV-E eligible because of their inability to meet the criteria of the AFDC State Plan in effect 6/95.

 Foster children whose income and resources are at or