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Louisiana Medicaid Eligibility Manual Eligibility Determinations
Reissued July 10, 2025 Issued October 17, 2022
Page 6 of H-2100 Revised/added text indicated by underscore
Deleted text indicated by “**” Step 7. The remainder is the couple’s countable earned income
Step 8. Add the remainders in Step 3 and Step 7.
Step 9. The remainder is the total countable income.
Step 10. Compare total countable income to 200% FPL for two (2) persons. Refer to MEM Z-200 Federal Poverty Income Guidelines.
If the remainder is greater than the allowable income limit, the applicant(s)/beneficiary(s) is/are income ineligible for MPP.
If the remainder is less than or equal to the allowable income limit, the applicant(s)/beneficiary(s) is/are income eligible for MPP. Continue with the eligibility determination process.
Exception: If one spouse is in a nursing facility or receiving Waiver services and the other spouse is at home and not receiving Waiver services, consider income of each individual separately.
D. Determine MPP Program Premium Amount
The monthly premium amount is determined by comparing the total countable income to the monthly premium scale. Refer to MEM Z- 2500 Premium Program Income Limits.
Income Range(% FPIG) Monthly Premium ≤ 150% $0.00 > 150% - ≤ 200% $131.00
The initial MPP premium begins the month after the beneficiary is determined eligible for MPP and is due by the 10th of that month. Premiums for all following months are also due by the 10th of each month.
The premiums will not be applied for the month of determination and any months before the decision month (including retroactive Medicaid eligibility). See H-1800 Retroactive Medical Eligibility (RME).
A premium is owed for each employed individual enrolled.