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Louisiana Medicaid Eligibility Manual Eligibility Determinations Reissued July 18, 2025 Page 4 of H-1040 Replacing July 31, 2024

Revised/added text indicated by underscore

Deleted text indicated by “**”

• Residence

I-1900

H-1041.4 Establish Need

A. Determination of the Composition of the Income Unit

The income unit consists of:

• The applicant/beneficiary; or

• The applicant/beneficiary who is a child and the parent(s) with whom the child lived for the month of admission only. After the first month of admission, parent deeming is no longer applicable. Refer to I-1420 Need - Deeming.

Note: The income of the community spouse and legal dependent(s) living in the community is not counted in determining eligibility for the institutionalized individual. Refer to I-1537 Spousal Income Provisions.

B. Determination of Countable Income

The LTC SD MNP applicant's countable income, after certain deductions, must be equal to or less than the MNIES for a household of one. Refer to Z-300 Medically Needy Income Eligibility Standards (MINES).

Budget Steps

Step 1. Determine gross unearned income for the individual excluding VA Aid and attendance.

Step 2. Subtract $20 SSI disregard.

Step 3. The remainder is the countable unearned income.

Step 4. Determine the total gross earned income for the individual.

Step 5. Subtract any unused remainder of the $20 SSI disregard