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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 4, 2026

Page 1 of H-100 Replacing January 6, 2026 Revised/added text indicated by underscore

Deleted text indicated by “**” H-0000 ELIGIBILITY DETERMINATIONS H-100 GENERAL INFORMATION

To determine eligibility, you must: • Have a complete application form; and • Verify all eligibility factors.

During the application review process: • Determine who is applying; • Determine what kind of assistance is being requested; and • Offer assistance to household members for whom assistance is not requested, if appropriate. H-100.1 Selecting A Program

In order to protect the rights of the applicant, review the applicant’s circumstances and potential eligibility in all programs for which the applicant may qualify. Refer to E-0000 Category, F-0000 Medical Programs, and I-0000 Eligibility Factors. The agency representative shall consider: • MAGI-related groups: o Adults; o Pregnant women; and/or o Children under age 19. See H-110 Roll-Down for MAGI-Related Assistance . • Non-MAGI-Related programs, such as: o Provisional Medicaid (PM), for applicants/enrollees who are aged (65 or older) or disabled and meet all eligibility requirements in the Supplemental Security Income (SSI) program. Refer to H-3300 Provisional Medicaid;