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Louisiana Medicaid Eligibility Manual Eligibility Determinations

September 15, 2023 Page 1 of H-1030 Replacing January 30, 2012

Revised/added text indicated by underscore

Deleted text indicated by “**”

H-1030 SPEND-DOWN MEDICALLY NEEDY—SSI-RELATED Non- Institutionalized and Institutionalized on Medicare Co- Insurance

H-1031 ELIGIBILITY DETERMINATION PROCESS

Determine eligibility by applying the following criteria. The elements have been listed in the most logical order, but work on all steps simultaneously.

H-1031.1 Determine Assistance Unit

The assistance unit consists of the applicant/beneficiary.

H-1031.2 Establish Categorical Requirement

Verify that the applicant is:

• aged,

• blind, or

• disabled.

Refer to E-0000 Category.

H-1031.3 Establish Non-Financial Eligibility

Verify eligibility for each member of the assistance/benefit unit with regard to the following factors:

• Assignment of Third Party Rights

I-100

• Citizenship/Identity and Qualified Non-Citizen Status I-300

• Enumeration

I-600

• Residence

I-1900