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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued October 1, 2024 Page 4 of H-1500 Issued May 16, 2022 Revised/added text indicated by underscore Deleted text indicated by “**” Ineligibility. Not all changes reported in the initial six (6) month period will require action; some changes may need to be reviewed again in the 7th month to determine effect on eligibility.

Example: Mrs. Apple was certified for TM beginning June because she started a part-time job and her earnings exceeded the income limit for PCR. In September (the 4th month of TM), she reported that she is now working full time. While the increase in earnings does not affect eligibility in the initial six (6) month period, a review in December must be conducted to determine if Mrs. Apple is still working full time and if so, if her income is less than 185 percent of the Federal Poverty Level (FPL) to remain eligible in the second six (6) month period.

H-1533.1 RESERVED

H-1533.2 RESERVED

H-1534 REASONS FOR INELIGIBILITY

TM beneficiaries continue to be eligible unless one of the factors below applies. Take action as indicated.

Reasons for ineligibility during the first six (6) month period:

● A child is no longer in the home or the child no longer meets the age requirement. Refer to MEM I-100 AGE- MAGI Related.

● The parent/caretaker is no longer in the home.

● The residency requirement is not met.

Reasons for ineligibility during the second six (6) month period:

• A child is no longer in the home or the child no longer meets the age requirement. Refer to MEM I-100 AGE- MAGI Related.

● The former parent/caretaker is no longer in the home or