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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 22 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

G-1610.6 RECONSIDERATION OF MEDT DENIAL A request for reconsideration of the MEDT decision should be completed if:  New medical or social information is obtained; or  At appeal, additional medical documentation is available which supports the deterioration of the applicant/beneficiary’s condition; or  A new medical condition can be documented.

G-1610.7 RESUBMIT TO MEDT Resubmit a complete MEDT package:  If the MEDT decision does not include the needed period of coverage, i.e., retroactive;  For a different categorical decision requiring MEDT approval;  At renewal;  At renewal for a beneficiary who lost RSDI/SSI for a reason other than cessation of disability;  At renewal for a case certified or continued based on a Division of Administrative Law decision;  If there are changes in the case which require approval by MEDT for continuance; or  If a subsequent adverse disability decision is made by SSA/SSI for an MPP beneficiary. Exception: Do not resubmit to MEDT if the SSA Denial code is N07, N08, N15, N16, N30, N35, N40, N41, N44, N46 or N51. Note: Verbal MEDT approval will not be provided.

G-1610.8 REAPPLICATION AFTER MEDT DENIAL If the applicant reapplies within ninety (90) days from the date of a previous MEDT denial, reject the Medicaid application unless there has been a significant deterioration of the applicant’s medical condition or a