Page 1

Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 1 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

G-0000 APPLICATION PROCESSING

G-100 INTRODUCTION This section contains information on processing applications for medical assistance.

Effective October 1, 2013, in accordance with the Patient Protection and Affordable Care Act of 2010 (ACA), the application must be the single streamlined application. The BHSF Form 1-A is used to apply for Modified Adjusted Gross Income (MAGI) Medicaid programs.

For individuals who may be eligible for certain non-MAGI programs, the agency has applications specifically designed for the following programs:  Long-term care (LTC);  Home and Community-Based Services (HCBS) Waivers;  Program of All-Inclusive Care for the Elderly (PACE); and  The Medicare Savings Programs (MSP).

For individuals applying for non-MAGI programs using the BHSF Form 1-A application, the agency uses supplemental forms to ask questions and collect information needed to determine eligibility on a basis other than MAGI. Individuals shall not be required to reapply.

MAGI methodology is used to determine income eligibility for the following groups:  Adult age 19-64;  Children;  Parents and Caretaker Relatives (PCR);  Pregnant Women (PW);  Child-related groups;  Other adult related groups:  Refugee Medical Assistance (RMA);  Regular and Spend-Down Medically Needy;  Take Charge Plus (TCP); And