Page 5

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 4, 2026

Page 5 of H-100 Replacing January 6, 2026 Revised/added text indicated by underscore

Deleted text indicated by “**” • MAGI-related SD-MNP; and, • Take Charge Plus (TCP). Note: Due to the conversion of net income standards to MAGI equivalent income standards, individuals who would have qualified for Regular MAGI-related MNP qualify under the Parent and Caretakers Relatives Group. H-110.1 MAGI-Related Eligibility Groups

An individual may be considered for MAGI-related MNP only when that individual has been: • Appropriately included in a MAGI-related eligibility group (PCR, Pregnant Women, a Children under age 19 group, or Continued Medicaid); and • Denied Medicaid because of income. Note: Individuals determined income ineligible for the AG are not considered for SD-MNP. An individual must be a parent, a caretaker relative, a pregnant woman, a child under age 19, or in a Continued Medicaid program for eligibility to be considered in MAGI-related SD-MNP.

Applicants can be certified in only one full-benefit MAGI-related eligibility group.

Medicaid enrollees who become ineligible shall be considered for eligibility in all other programs before being closed. H-110.2 Medically Needy

The Medically Needy Program (MNP) must, by regulation and interpretation, serve persons who are not eligible in a MAGI-related or Non-MAGI-related assistance group because of income. All persons must first be considered for assistance in a MAGI-related or Non- MAGI-related program. Only if the individual is ineligible for assistance because of income can MNP be considered Only if the applicant does not qualify for coverage because of income under any of the following MAGI-related eligibility groups can eligibility in SD-MNP be considered: