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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 28 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

Individuals with/without spouse Income below FBR but resources above SSI resource limit. Ineligible for SSI and Medicaid. Do not refer to SSI.

Couple

If both members of a couple are applying and their countable couple income falls below couple FBR and couple resource limit. Referral for SSI is required. Scenarios for LTC Medicaid applications See Z-400 Federal Benefit Rate for FBR amounts LTC applicant w/o community spouse Applicant’s income and resources below FBR. Referral for SSI is required.

LTC applicant w/o community spouse Applicant’s income below individual FBR, but resources exceed individual limit. Do not refer to SSI.

LTC applicant w/community spouse Applicant’s income below individual FBR. Resources in applicant’s name exceed SSI individual limit and/or countable couple resources exceed the individual resource limit. Do not refer for SSI. Explain the spousal impoverishment resource provisions and the allowance under Medicaid LTC Program for transfers to the community spouse. Referral for SSI may be appropriate at renewal.

LTC applicant w/community spouse Applicant’s income below individual FBR and countable couple resources below individual SSI resource limit. Referral for SSI required.

LTC Couple If both members of a couple are applying, consider income eligibility separately as individuals. If either has income below individual FBR, refer only that member for SSI.