Page 5

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued July 22, 2020

Page 5 of H-1200 Replacing May 22, 2020

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

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

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

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

Ineligible Spouse Deeming

If the applicant/enrollee has an ineligible spouse with income, complete budget steps 1 through 9 above using only the applicant/enrollee income.

If the income of the applicant/enrollee is greater than the QDWI limit for one person, the applicant/enrollee is income ineligible and there is no deeming. Consider for the Medically Needy Program (MNP).

If the income of the applicant/enrollee is less than or equal to the QDWI limit for one, apply deeming policy. Refer to I-1420 Need - Deeming. Go to Step 1 of the couple budget.

Couple

If both members of a couple are potentially eligible, or if there is income remaining in the deeming process, complete the following budget steps:

Step 1. Determine the total gross unearned income by combining the couple’s gross unearned income.

Note: When deeming income from an ineligible spouse, the income of the ineligible spouse remaining after allocation for ineligible children is combined with the income of the eligible spouse. The couple is then treated the same as an eligible couple for budgeting purposes.

Step 2. Subtract one $20 SSI general income disregard.