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Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 29 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

Scenarios for HCBS Medicaid applications See Z-400 Federal Benefit Rate for FBR amounts

HCBS applicant, no spouse Income and resources below individual FBR. Referral for SSI required.

HCBS applicant, no spouse Income below individual FBR, but resources exceed limit. Do not refer for SSI.

HCBS applicant w/spouse Applicant’s income (including deemed income from ineligible spouse) and resources fall below individual FBR. Referral for SSI required.

HCBS applicant w/spouse Income is below FBR, but resources exceed individual limit. Do not refer for SSI. Explain the spousal impoverishment resource provision and the allowance under Medicaid LTC/HCBS programs for transfers to the community spouse.

G-2000 DECISION NOTICES Send the eligibility decision notice to the applicant upon disposition of the application.

For limited certifications (e.g., deceased applicant, complete retroactive certifications, and SD-MNP), the notice of certification may also serve as the closure notice.

The agency must provide individuals with the choice to receive notices and information in electronic format or by regular mail.

When an applicant/beneficiary is determined ineligible using the MAGI income methodology and the applicant/beneficiary is not aged, blind, or disabled, a notice shall be sent advising the applicant/beneficiary of the decision and advising them that their application is being referred to the Marketplace.