Page 6
Louisiana Medicaid Eligibility Manual Eligibility Determinations
Reissued July 31,2024
Page 6 of H-1050 Replacing November 06, 2023
Revised/added text indicated by underscore
Deleted text indicated by “**”
- 109.00 Medicare premium
$ 2,609.00
- 2,630.08 Prorated waiver rate
0.00
Step 12. If the remaining income is greater than $0.00, spend-down is not met and the applicant is income ineligible.
If the projected waiver rate is prorated for the budget month, review eligibility for the following month using the monthly projected waiver rate. If the remaining income is greater than $0.00, spend-down is not met and the applicant is income ineligible. Review the applicant for all other Medicaid programs.
C. Determine Composition of the Resource Unit
The resource unit consists of: • The applicant/beneficiary; • The applicant/beneficiary and the community spouse; or • For the month of admission only (the month of eligibility listed on the BHSF Form 142), the applicant/beneficiary who is a minor child and the parent(s) with whom they lived during the month. Refer to I-1420 Need - Deeming. After the first month of eligibility, the resource unit consists of the applicant/beneficiary.
Exception: Do not deem resources from parent(s) to a child who has been discharged from a facility to his home to receive HCBS.
D. Determine Countable Resources
Determine eligibility with regard to resources:
• Determine total countable resources of the applicant/beneficiary. Refer to I-1630 SSI-Related Resources.