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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued July 10, 2025 Issued October 17, 2022

Page 7 of H-2100 Revised/added text indicated by underscore

Deleted text indicated by “**”

Federally recognized American Indians or Alaskan Natives do not pay a premium.

Upon notification that the premium is 60 days past due, an advance notice to close should be generated. Beneficiaries may pay outstanding payments prior to the effective date of closure to remain open to avoid gaps in coverage.

Once the closure becomes effective, the beneficiary is not required to pay any outstanding payments, and these will not be a factor when reapplying for benefits.

H-2120.5 Eligibility Decision

Evaluate all eligibility requirements and verification received to make the eligibility decision to either reject, close, certify, or extend eligibility.

H-2120.6 Certification Period

A MPP certification period shall not exceed twelve (12) months.

H-2120.7 Retroactive Eligibility

Coverage can start as early as three (3) months before application as long as all eligibility requirements are met.

H-2120.8 Notice of Decision

Send the appropriate notice of decision to the applicant/beneficiary.