Page 18

Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 18 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

whichever occurs later.

G-1200 RESERVED

G-1300 OBVIOUS INELIGIBILITY Reject the application at any point during the eligibility determination when there is enough information obtained and recorded to establish ineligibility. See S-0000 Verification and Documentation.  If enough information is provided on the application form or in the interview that establishes that not all eligibility factors are met, explain that the application will be rejected without any further investigation.  If the information is received after the initial interview, contact the applicant to establish that the information is correct. If correct, explain that the application will be rejected and send the appropriate notice of rejection. NOTE: Advise the applicant that the case is being referred to the FFM for enrollment in an IAP.

G-1400 WITHDRAWALS

Withdrawals are initiated by the applicant/beneficiary. An applicant may voluntarily withdraw the application or request closure of their case at any point in the eligibility process. The applicant is allowed to request withdrawal verbally or in writing. Document the case record with the reason for withdrawal denial or closure and send the appropriate notice.

G-1500 DEATH OF APPLICANT BEFORE CERTIFICATION If an applicant dies before certification and eligibility is established, certify the case. Eligibility cannot extend beyond the date of death.

An eligibility determination may be made even if the applicant dies before