Page 3
Louisiana Medicaid Eligibility Manual Eligibility Determination Responsibility
Reissued July 27, 2023
Page 3 of F-0000 Replacing June 07, 2022
Revised/added text indicated by underscore
Deleted text indicated by “**” Disabled W/W/DS) • Early Widows/Widowers (EW/W) • Former Foster Care Children • Individuals Eligible for Emergency Medical Services • Individuals receiving SSI • Infants and Children Under 19-CHAMP • Mandatory State Supplement Individuals • Parents and Caretaker Relatives • PICKLE • Pregnant Women • Qualified Disabled Working Individuals • Qualified Medicare Beneficiaries • Qualifying Individuals • Specified Low-Income Medicare Beneficiary
F-200 LIMITED RESPONSIBILITY For the following programs, BHSF does not have responsibility for eligibility determination, but does have limited responsibility in the ongoing Medicaid certification. • Breast and Cervical Cancer • Children with Adoption Assistance, Foster Care, or Guardianship Care Under Title IV-E • Family Independence Temporary Assistance Program (FITAP) • Hospital Presumptive Eligibility • Mandatory State Supplementation (MSS) • Supplemental Security Income (SSI)