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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 19 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

signing the application form. Refer to MEM G-600 Who May Apply for Assistance. If there is no one to act for the deceased applicant, complete the application form with information received:  From a person who is knowledgeable of the decedent’s circumstances and can report the required information for eligibility determination accurately and under penalty of perjury; or  By agency representative verification and documentation. The agency representative shall obtain sufficient evidence to support the decision. Note: Long Term Care and medical providers shall not be allowed to sign the application form. A disability decision is required for deceased applicants for the period of assistance requested, if the application is in the disability-related non- MAGI category (Category D) and the applicant did not receive a Social Security (SSA) disability determination.

G-1600 SECURING DISABILITY DECISIONS FOR NON-MAGI (FORMERLY B AND D) CATEGORIES

Refer to E-220 Blind (B) and E-240 Disabled (D) and I-2100 Supplemental Security Income (SSI) Eligibility Status.

If the applicant has not already been determined disabled by SSA, submit the Medical Eligibility Determinations Team (MEDT) package.

G-1610 DISABILITY DECISIONS

Louisiana Medicaid’s MEDT determines categorical eligibility for disability/blindness based on medical criteria established by the SSA under Section 1634 of the Social Security Act. An SSA disability decision takes precedence over any contrary state disability determination. An MEDT decision should not be requested when the individual receives SSA disability, SSI benefits, or Medicare.

A disability decision shall not be requested from MEDT if the individual is otherwise ineligible. Send the appropriate denial notice and refer the applicant’s case to the FFM for review for enrollment in an IAP.