Page 10

Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 10 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

G-900 APPLICATION INTERVIEWS G-910 GENERAL INFORMATION Interviews are official and confidential discussions of household circumstances. Whenever an interview is conducted, the agency representative must:  Inform applicants of their rights and responsibilities;  Provide information about program policies and procedures;  Review information on the application form;  Evaluate all available information, including the existing case record; and  Explore and resolve any unclear or incomplete information. In-person interviews shall not be required as part of the application process in determining eligibility.

Appropriate referrals should be made to other agencies based on the needs of the applicant; including referral to the FFM should the applicant not be eligible for Medicaid/LaCHIP.

G-911.2 SOURCES OF VERIFICATION Self-Attestation Medicaid eligibility shall not be determined solely on self-declarations except for the below barring any post eligibility conflicting information that may be found:  Residency;  Age;  Household Composition;  Pregnancy;  Caretaker Relative;  Medicare;  Application for other Benefits; or  Third party liability (TPL).

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Page 10

Official source

Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 10 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

G-900 APPLICATION INTERVIEWS G-910 GENERAL INFORMATION Interviews are official and confidential discussions of household circumstances. Whenever an interview is conducted, the agency representative must:  Inform applicants of their rights and responsibilities;  Provide information about program policies and procedures;  Review information on the application form;  Evaluate all available information, including the existing case record; and  Explore and resolve any unclear or incomplete information. In-person interviews shall not be required as part of the application process in determining eligibility.

Appropriate referrals should be made to other agencies based on the needs of the applicant; including referral to the FFM should the applicant not be eligible for Medicaid/LaCHIP.

G-911.2 SOURCES OF VERIFICATION Self-Attestation Medicaid eligibility shall not be determined solely on self-declarations except for the below barring any post eligibility conflicting information that may be found:  Residency;  Age;  Household Composition;  Pregnancy;  Caretaker Relative;  Medicare;  Application for other Benefits; or  Third party liability (TPL).