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Louisiana Medicaid Eligibility Manual Tuberculosis (TB) Infected

Issued May 16, 2022 Page 2 of H-1600 Replacing August 12, 2021

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

H-1620.2 ESTABLISH CATEGORICAL REQUIREMENT

Verification must be provided that the applicant/beneficiary has been diagnosed as, or is suspected of, being infected with Tuberculosis, as determined by the Medical Eligibility Determination Team (MEDT). Request an MEDT disability decision with supporting medical documentation of the primary diagnosis. If a TB-infected diagnosis has not been rendered by the treating medical provider, the MEDT package must include a signed and dated statement from the medical provider indicating that the beneficiary is suspected to have active TB, while awaiting TB cultures results.

Request for a determination of TB-infected shall be clearly indicated on the MEDT request by checking the box labeled “TB-infected”.

H-1620.3 ESTABLISH NON-FINANCIAL ELIGIBILITY

Verify eligibility for each member of the assistance unit with regard to the following factors:

• Assignment of Third Party Rights

I-200 • Citizenship/Identity and Qualified Non-Citizen Status I-300 • Enumeration

I-600 • Residence

I-1900

H-1620.4 ESTABLISH NEED

Need/Countable Income is based on MAGI methodology and shall be determined by applying criteria found in I-1550 MAGI Determinations.

If income is equal to or greater than the individual 160% FPL limit (155% plus 5% disregard), the applicant/beneficiary is ineligible. Qualified Medicare Beneficiary (QMB) and Spend-Down Medically Needy (MNP) provisions do not apply to the TB-infected category.

H-1620.5 ELIGIBILITY DECISION

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