Page 3

Louisiana Medicaid Eligibility Manual Eligibility Determinations

September 15, 2023 Page 3 of H-1030 Replacing January 30, 2012

Revised/added text indicated by underscore

Deleted text indicated by “**”

resource eligible for MNP. Continue the eligibility determination process.

C. Determine Need/Countable Income - Non Institutionalized Spend-down MNP

Individual

If the applicant is an individual with no spouse or with an ineligible spouse with no income, go to Step 1.

Ineligible Spouse Deeming

If there is an ineligible spouse with income, apply deeming policy, Refer to I-1420 Need - Deeming and I-1424.2 Income Deeming Procedures, then go to Step 1 below. Add the ineligible spouse's remaining unearned income to all of the eligible individual's unearned income. Add the ineligible spouse's remaining earned income to all of the eligible individual's earned income. Calculate all remaining budget steps and compare countable income to the couple MNIES.

Parent(s) to Child Deeming

If the applicant is a minor child, apply deeming policy, I-1420 Need - Deeming. Any income deemed from the parent(s) is considered unearned income of the child. Go to Step 1.

Couple

If both members of a couple are categorically eligible, go to Step 1.

Budget Steps

Step 1. Determine unearned income, including income deemed from the parent(s) or alien sponsor(s). For a couple combine all unearned income. (See MEM I-1424.2 Income Deeming Procedures when spouse to spouse deeming is applicable).

Step 2. Subtract one $20 SSI disregard per income unit, if applicable.

Step 3. The remainder is the countable unearned income.