Page 4

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued Feburary 13, 2025

Page 4 of H-1400 Replacing November 22, 2022

Revised/added text indicated by underscore

Deleted text indicated by “**”

Renewal

Renewals may be extended up to 12 months and is determined by the physician’s statement regarding the projected length of remaining treatment.

Consider the following when determining continued eligibility:

• ** • Continuous need for treatment of breast and/or cervical cancer based on the treating physician’s statement regarding the projected length of remaining treatment,

• Creditable insurance coverage, and

Note: Insurance that is paid by Medicaid through the LaHIPP program is not considered creditable insurance and therefore, does not affect eligibility for BCC.

• Age (under 65).

H-1420.8 NOTICE OF DECISION

Send the appropriate notice of decision to the applicant/enrollee.

Note: Applicants/beneficiaries that do not meet the eligibility requirements shall be referred to the FFM for enrollment in a qualified health plan (QHP).

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Page 4

Official source

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued Feburary 13, 2025

Page 4 of H-1400 Replacing November 22, 2022

Revised/added text indicated by underscore

Deleted text indicated by “**”

Renewal

Renewals may be extended up to 12 months and is determined by the physician’s statement regarding the projected length of remaining treatment.

Consider the following when determining continued eligibility:

• ** • Continuous need for treatment of breast and/or cervical cancer based on the treating physician’s statement regarding the projected length of remaining treatment,

• Creditable insurance coverage, and

Note: Insurance that is paid by Medicaid through the LaHIPP program is not considered creditable insurance and therefore, does not affect eligibility for BCC.

• Age (under 65).

H-1420.8 NOTICE OF DECISION

Send the appropriate notice of decision to the applicant/enrollee.

Note: Applicants/beneficiaries that do not meet the eligibility requirements shall be referred to the FFM for enrollment in a qualified health plan (QHP).