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Louisiana Medicaid Eligibility Manual Eligibility Determination Responsibility

Reissued July 27, 2023

Page 1 of F-0000 Replacing June 07, 2022

Revised/added text indicated by underscore

Deleted text indicated by “**” F-0000 MEDICAL PROGRAMS

F-100 ELIGIBILITY DETERMINATION RESPONSIBILITY

The following is a list of programs for which the Bureau of Health Services Financing (BHSF) determines eligibility:

• Act 421 Children’s Medicaid Option (TEFRA) • Acute Care/Rehabilitation • Adult Group • Infants and Children Under 19-CHAMP • Covid-19 Uninsured Eligibility • Continued Medicaid • Deemed Newborn Children • Extended Medicaid: o ** o Disabled Adult Children o Disabled Widows/Widowers o Disabled Widows/Widowers and Disabled Surviving Divorced Spouses Unable to Perform Substantial Gainful Activity (SGA Disabled W/W/DS) o Early Widows/Widowers o Pickle • Family Opportunity Act Buy-In • Former Foster Care Children • Home and Community-Based Services • Home and Community-Based Services Spend-Down Medically Needy • Individuals Eligible for Emergency Services: o Non-Citizens and o Qualified Non-citizens subject to the five-year bar