Page 30

Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 30 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

LTC Only Send a notice of the eligibility decision to the applicant/authorized representative and the LTC facility.

HCBS Only Send a notice of eligibility decision to the applicant, the HCBS provider, and the LDH Office for Citizens with Developmental Disabilities (OCDD) or LDH Office of Aging and Adult Services (OAAS), as applicable.

G-2100 RETROACTIVE REIMBURSEMENT The agency reimburses the Medicaid beneficiary for part or all of any medical expenses paid by them from the effective date of eligibility through the date that they are expected to receive their MEC or the reactivation of the MEC.

Beneficiaries are eligible for reimbursement of medical expenses paid up to three (3) months prior to the month of application only if they request retroactive eligibility on their application and they are certified for the months requested. Refer to H-1800 Retroactive Medical Eligibility.

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Page 30

Official source

Louisiana Medicaid Eligibility Manual Application Processing

Issued January 7, 2026 Replaced July 16, 2024 Page 30 of G-0000 Revised/added text indicated by underscore Deleted text indicated by “**”

LTC Only Send a notice of the eligibility decision to the applicant/authorized representative and the LTC facility.

HCBS Only Send a notice of eligibility decision to the applicant, the HCBS provider, and the LDH Office for Citizens with Developmental Disabilities (OCDD) or LDH Office of Aging and Adult Services (OAAS), as applicable.

G-2100 RETROACTIVE REIMBURSEMENT The agency reimburses the Medicaid beneficiary for part or all of any medical expenses paid by them from the effective date of eligibility through the date that they are expected to receive their MEC or the reactivation of the MEC.

Beneficiaries are eligible for reimbursement of medical expenses paid up to three (3) months prior to the month of application only if they request retroactive eligibility on their application and they are certified for the months requested. Refer to H-1800 Retroactive Medical Eligibility.