Page 4

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued December 9, 2024

Page 4 of H-1100 Replacing February 6, 2023

Revised/added text indicated by underscore

Deleted text indicated by “”

Savings Programs (QMB, SLMB, QI). An eligible spouse is one who is aged, blind, or disabled and lives in the same household as the applicant/beneficiary. The eligible spouse does not have to be entitled to Medicare for the couple to be considered an eligible couple.

B. Determine Need/Countable Income

Individual

If the applicant/beneficiary is an individual with no spouse or with an ineligible spouse with no income, complete the following budget steps:

Step 1. Determine the total gross unearned income.

Step 2. Subtract the $20 SSI general income disregard from unearned income.

Step 3. The remainder is the countable unearned income.

Step 4. Determine the total gross earned income.

Step 5. Subtract any remainder of $20 SSI disregard from gross earnings.

Step 6. Subtract earned income deduction from remaining gross earnings. Earned income deduction is $65 and one-half of remainder of earnings.

Step 7. The remainder is the countable earned income.

Step 8. Add remainders from Step 3 and Step 7.

Step 9. Compare the total to 100 percent FPL for one person. Refer to Z-200 Federal Poverty Income Guidelines.

If the remaining income is greater than the QMB income limit for one person, the applicant/beneficiary is not income eligible.

If the remaining income is equal to or less than the QMB income limit for one person, the applicant/beneficiary is income eligible for QMB.