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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 15 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

 Review of the EDMS;  Checking electronic data sources;  Use of consent forms signed by the applicant to request verification directly from collateral sources; and  Requesting assistance from other Medicaid regions and State agencies in order to secure court records and other pertinent data. In situations involving a life-threatening health condition requiring urgent medical care, the Medicaid analyst shall expedite the application process, taking special steps to obtain any required verifications, including a field visit, if necessary.

G-1100 COOPERATION The agency representative has a responsibility to decide whether an applicant is capable of participating in the eligibility process. Refer to G-810 Applicant Unable to Participate in the Eligibility Determination Process.

For all applicants incapable of cooperation due to a physical, mental or intellectual condition, the application shall not be rejected for failure to cooperate.

G-1110 COOPERATION BY PHYSICALLY AND MENTALLY ABLE APPLICANTS The applicant must cooperate in the process of determining eligibility by completing an application form, being interviewed (when necessary), and providing required information. Refer to G-1130 LTC Refusal To Cooperate.

The agency representative shall:  Allow adequate time for the applicant/beneficiary to receive notice of the interview and make arrangements to attend;  Inform the applicant in writing of what is required and the consequences of not cooperating;  Allow at least ten (10) calendar days for the applicant to provide the information or advise the agency representative that the requested