Page 8

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 4, 2026

Page 8 of H-100 Replacing January 6, 2026 Revised/added text indicated by underscore

Deleted text indicated by “**” H-120 ROLL-DOWN FLOWCHARTS FOR NON-MAGI-RELATED REJECTIONS, CLOSURES, OR REMOVAL OF INELIGIBLE ENROLLEES

There is also a specific order for considering the kinds of assistance for which Non-MAGI Medicaid eligibility must be examined.

SD-MNP must, by regulation and interpretation, serve persons who are not eligible in another assistance group because of income. All persons must first be considered for assistance in a non-MAGI-related program. Only if the individual is ineligible for assistance because of income can SD-MNP be considered.

H-120.1 Roll-Down Flowchart For Non-MAGI-related (Formerly Aged, Blind, And Disabled Categories) Rejections, Closures, Or Removal Of Ineligible Beneficiaries

NON-MAGI Groups ABD Adults (over 18) Disabled Children under 18 LTC

Extended Medicaid Previously had SSI but lost it due to change in income.

DAC, D/W/W, E/W/W, Pickle and SGA Disabled W/W/DS

Provisional Medicaid

MPP Age 16-64, disabled and working (premium free or not)

Extended Medicaid Previously had SSI but lost it due to change in income.

Extended Medicaid Programs:

DAC (Age >18) OR Pickle

Act 421 – CMO

Provisional Medicaid

Individuals admitted to Nursing Facility or HCBS Waiver