Page 6

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 4, 2026

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

Deleted text indicated by “**” • Parents and Caretaker Relatives Group; • Pregnant Women Group; and • Children Under Age 19 Group. Note: Individuals determined income ineligible for the AG program are not considered for SD-MNP. An individual must be a parent/caretaker relative, pregnant woman, or a child for eligibility to be considered in MAGI-related SD-MNP. Refer to H-1021.4 Establish Need, which specifies who is to be included in the medically needy income eligibility standard (MNIES). H-110.3 Documentation

Document that all full Medicaid coverage programs were considered prior to a SD-MNP Program determination.