Page 4

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued July 22, 2020

Page 4 of H-1200 Replacing May 22, 2020

Deleted text indicated by “**” Revised/added text indicated by underscore

Compare the countable resources to the QDWI resource limits:

● For an individual, if there is no spouse living in the home; or

● For a couple, if there is a spouse (eligible or ineligible) living in the home.

Refer to Z-900 Resource Limits by Program.

If the countable resources are greater than the QDWI resource limit, the applicant/enrollee is resource ineligible.

If the countable resources are equal to or less than the QDWI resource limit, continue determination of need.

C. Determine Need/Countable Income

Individual

If the applicant/enrollee 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 the $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. Combine remainders from Step 3 and Step 7.