Page 4

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued July 31,2024

Page 4 of H-1050 Replacing November 06, 2023

Revised/added text indicated by underscore

Deleted text indicated by “**” Form 142) only. Refer to I-1420 Need - Deeming. After the first month of eligibility, the income unit consists of the HCBS participant.

Note: Never consider the income of the community spouse/legal dependent(s) at home in determining eligibility for an institutionalized/HCBS individual. Refer to I-1537, Spousal Income Provisions.

B. Determine Countable Income Determine the total countable monthly income of the applicant/beneficiary including any parental deemed income.

The applicant's countable income, after allowable deductions, must be equal to or less than the MNIES or equal to or less than the excess income.

Budget Steps

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

Step 2. Subtract $20 SSI standard deduction

Step 3. Remainder is countable unearned income.

Step 4. Determine gross earned income for the individual. Subtract any remainder of the $20 SSI standard deduction from gross earnings.

Step 5. Subtract $65 and one half of the remainder of the earnings.

Step 6. Remainder is countable earned income.

Step 7. Add the remaining countable unearned and earned income from in Step 3 and Step 6.

Step 8. Subtract the monthly MNIES for one (1)

Step 9. If the income remaining is greater than $0.00, deduct allowable incurred medical expenses. Determine allowable incurred medical expenses.