Page 9

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 4, 2026

Page 9 of H-100 Replacing January 6, 2026 Revised/added text indicated by underscore

Deleted text indicated by “**”

H-120.2 Roll-Down Flowchart for Other Rejections, Closures, Or Removal Of Ineligible Enrollees

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

FOA (premium free or not)

If over the income limit for the above, consider SD-MNP Other Programs Breast & Cervical Health (If not eligible for full benefits under another program) Emergency Medical Services Medicare Savings Programs

Tuberculosis

ACH Screened through CDC program and found to be in need of treatment for breast or cervical cancer (No income requirement for Medicaid but must be under 250% FPL to be screened through CDC) Individuals who otherwise meet criteria for a Medicaid program except for citizenship status. (coverage limited to services needed for treatment of certain emergency situations including labor and delivery)

QMB

SLMB

QI

QDWI Diagnosed as, or suspected of, being infected with Tuberculosis 160% FPL MAGI-related

Individuals institutionalized in an acute care facility for 30 consecutive days or longer with income equal to or below 300% of the FBR