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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued July 10, 2025 Issued October 17, 2022

Page 1 of H-2100 Revised/added text indicated by underscore

Deleted text indicated by “**” H-2100 MEDICAID PURCHASE PLAN (MPP)

H-2110 GENERAL INFORMATION

The Ticket to Work and Work Incentives Improvement Act of 1999 (Public Law 106-170, also known as TWWIIA) became law on December 17, 1999. This legislation allowed states to adopt the option of allowing individuals with disabilities to purchase Medicaid coverage that is necessary to enable such individuals to work.

Act 207 of the First Extraordinary Session of 2003 of the Louisiana Legislature directed the Louisiana Department of Health (LDH) to implement a buy-in program for working persons with disabilities using the provisions of the TWWIIA effective January 1, 2004.

Effective January 1, 2014, LDH eliminated buy-in premiums from the Medicaid Purchase Plan (MPP).

Effective July 1, 2025, LDH implemented the following changes to MPP:

• Increased the countable income from less than or equal to 100% to less than or equal to 200% of the Federal Poverty Level (FPL),

• Raised the resource limit from less than $10,000 to less than $25,000, and

• Added buy-in premiums for individuals with income over 150% and up to 200% FPL.

To qualify for MPP coverage, an individual must:

• Have a medically determinable physical or mental impairment which meets or equals the Social Security Administration’s definition of disability. Substantial gainful activity is not a factor;

• Be employed;

• Be at least age 16 but not yet age 65;

• Have countable income equal to or less than 200 percent Federal Poverty Limit (FPL);