Page 3

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued July 10, 2025 Issued October 17, 2022

Page 3 of H-2100 Revised/added text indicated by underscore

Deleted text indicated by “**” • Assignment of Third Party Rights I-200

• Citizenship/Alien Status

I-300

• Enumeration

I-600

• Residence

I-1900

• Health insurance coverage – verify eligibility and coverage for no-cost health insurance such as Medicare Part A and certain employer sponsored group health plans.

H-2120.4 Establish Need

A. Determine Composition of the Income/Resource Unit

The income/resource unit consists of the:

• Applicant/beneficiary;

• Applicant/beneficiary and the ineligible spouse (is not aged, blind, or disabled) living in the home;

• Applicant/beneficiary who is a minor and his parent(s) living in the home. Refer to I-1420 Need - Deeming; or

• Applicants/beneficiaries who are a couple.

B. Determine Need/Countable Resources

Determine the total countable resources of the resource unit including resources deemed from the parent(s). Refer to I-1630 Need - SSI-Related Resources.

Compare the total countable resources to the MPP resource limit of $25,000. Refer to Z-900 Resource Limits by Program.

If the countable resources are greater than the resource limit, the applicant/beneficiary is resource ineligible for MPP.

If the countable resources are equal to or less than the resource limit, the applicant/beneficiary is resource eligible for MPP. Continue the eligibility determination process.