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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 20 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

All Medicaid applications or renewals based on disability, including those for nursing facilities or waiver services programs, require submission of a complete MEDT package, unless there is an existing MEDT approval that covers the certification period.

The Medicaid analyst is expected to assist to obtain any required medical documentation for the package. In situations involving life-threatening health conditions requiring urgent care, expedite the application process.

G-1610.1 MEDT PACKAGE The MEDT Package consists of:  The request for an MEDT decision from an MEDT consultant which contains the applicable program type, specific notes on case the consultant would need to know, and the period of coverage requested;  Completed Social information Interview form (Form MS), for all adult decisions, or a Minor Child’s Medical and Social information form (Form MS/C), if a minor;  Medical records obtained from providers;  All previous MEDT decisions and supporting documentation.

G-1610.2 MEDT DECISION REQUIRED An MEDT decision is required if:  A disability decision has not been rendered by SSA;  SSA has rendered an unfavorable disability decision and: o Medical documentation is available to demonstrate the deterioration of the applicant’s medical condition since the SSA denial; o A new medical condition can be documented; o The applicant is appealing the SSA determination; or o The applicant is employed and applying for Medicaid Purchase Plan coverage;  Retroactive eligibility is requested; or  The applicant has been diagnosed as, or is suspected of being,