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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 23 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

new medical condition is documented.

Include the applicant's statement regarding the change in their medical condition since the last MEDT denial on the Form MS or MS/C.

G-1610.9 REQUESTING AUTHORIZATION FOR MEDICAL EXAM The analyst should first determine if medical documentation is available from a licensed physician, clinic, hospital, Disability Determination Services (DDS), Louisiana Rehabilitation Services (LRS), or other sources. If medical documentation is not available for an MEDT decision, a request for authorization of a medical exam shall be included on the request sent to the MEDT consultant. Note: A completed Form MS is required with the submittal.

If authorization is approved, the analyst shall request a written report from the physician regarding the applicant's medical condition. In accordance with instructions, Form MR-A shall be used to authorize payment for the examination. The written report shall be included as part of the complete MEDT packet.

G-1610.10 SSA CERTIFIES APPLICANT FOR SSI Upon receipt of documentation that SSA has certified the applicant for SSI:  Certify for Medicaid (manually or through the State Data Exchange (SDX) process);  Certify for LTC retroactively to the date of SSI eligibility if the applicant was a resident of an LTC facility and met all of the other eligibility factors (Refer to H-800 Long Term Care); and  Make appropriate case changes, if the case was certified based on the MEDT Consultant approval.

G-1610.11 SSA DENIALS If SSA has denied the applicant's/beneficiary’s SSI application based on disability in the last twelve (12) months and the applicant is not appealing