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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued July 10, 2025 Issued October 17, 2022

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Deleted text indicated by “**”

C. Determine Need/Countable Income

Determine the total countable income of the income unit. Refer to I-1530 through I-1536 – SSI Related Income.

Individual

If the applicant/beneficiary is an individual with no spouse or with an ineligible spouse with no income, go to Step 1. Parent(s) to Child Deeming

If the applicant is a minor child, apply deeming policy I-1424.2, Need – Deeming. Any income deemed from the parent(s) is considered unearned income of the applicant /beneficiary in the individual steps. Go to Step 1.

Complete the following budget steps:

Step 1. Determine the total gross unearned income.

Step 2. Subtract the $20 Supplemental Security Income (SSI) general income disregard.

Step 3. The remainder is the countable unearned income.

Step 4. Determine the total gross earned income.

Step 5. Subtract any remainder of the $20 SSI general income disregard from the gross earnings.

Step 6. Subtract the SSI earned income deduction from the remaining gross earnings. The earned income deduction is $65 and one-half of the remainder of the earnings.

Step 7. Add the remainders from Step 3 and Step 6.

Step 8. The remainder is the total countable income.

Step 9. Compare the total countable income to 200% FPL for one (1) person. Refer to MEM Z-200 Federal Poverty Income Guidelines.