Page 7

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued July 22, 2020

Page 7 of H-1200 Replacing May 22, 2020

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

H-1221.6 Certification Period

The certification period may be effective no earlier than three (3) months prior to the application date provided the individual is otherwise eligible and is enrolled in Medicare part A during the retroactive period.

The months of retroactive coverage are not included in the twelve (12) month certification period. The certification shall not exceed twelve (12) months and begins with the month of application.

H-1221.7 Notice of Decision

Send the appropriate notice of decision to the applicant(s)/enrollee(s).

Note: Applicants enrolled in Medicare Part A are not referred to the Federally Facilitated Marketplace. (FFM).