Page 6

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued July 22, 2020

Page 6 of H-1200 Replacing May 22, 2020

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

Step 3. The remainder is the couple's countable unearned income.

Step 4. Determine the total gross earned income by combining the couple’s gross earned income.

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

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

Step 7. The remainder is the couple’s countable earned income.

Step 8. Combine the remainders in Step 3 and Step 7.

Step 9. Compare the total countable income to 200 percent FPL for two persons. Refer to Z-200 Federal Poverty Income Guidelines.

If the income is greater than the QDWI income limit for two persons, the applicant/enrollee is income ineligible.

If the income is equal to or less than the QDWI income limit for two persons, the applicant/enrollee is income eligible.

Note: Count as unearned income to the community spouse any income allocated from an institutionalized spouse.

H-1221.5 Eligibility Decision

Evaluate all eligibility requirements and verification received to make the eligibility decision.