Page 6

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued Feburary 06, 2023 Page 6 of H-1300 Replacing March 13, 2020 Revised/added text indicated by underscore Deleted text indicated by “**” individual for separate SLMB decisions.

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

H-1321.5 ELIGIBILITY DECISION

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

H-1321.6 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.

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

H-1321.7 NOTICE OF DECISION

Send the appropriate Notice of Decision to the applicant(s)/beneficiary(s).

Note: Medicare beneficiaries are not referred to the Federally Facilitated Marketplace (FFM).