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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued April 29, 2024 Page 2 of H-1800 Replacing July 07, 2022

Revised/added text indicated by underscore Deleted text indicated by “**” Consider eligibility in Medically Needy Program (MNP) if the applicant is income or resource ineligible for retroactive medical coverage in all categorical programs.

Note: Continuous eligibility begins in the month of application rather than the first month of eligibility. See H-1900 Twelve Months Continuous Eligibility for more information.

H-1810.1 Coverage

Beneficiaries of RME receive the full range of Medicaid services covered by the program in which the applicant is certified.

H-1821 ELIGIBILITY DETERMINATION PROCESS

Follow the appropriate Eligibility Determination Process for the program in which retroactive eligibility is being considered.

Note: For all retroactive eligibility determinations, regardless of the program, use actual income received in the requested retroactive eligibility period.

Refer to H-700 SSI Retroactive Medicaid for Supplemental Security Income (SSI) applicants/beneficiaries who declared they had unpaid medical services incurred within the three months prior to SSI application.

H-1821.1 Certification Period

The certification period is one, two, or three months, depending on the month(s) of eligibility.