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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued October 24, 2025 Page 2 of H-2300 Replacing April 21, 2025 Revised/added text indicated by underscore Deleted text indicated by “*” Refer to I-1425, Changes in Deeming Status.

H-2320.1 Determine Assistance/Benefit Unit

The assistance/benefit unit consists of the applicant/beneficiary.

H-2320.2 Establish Categorical Requirement

Establish that the applicant/beneficiary: • Is a child under age 19; and • Has a physical or mental impairment that is disabling under the Social Security Administration’s listing of impairments; and • Has gross family income that is equal to or less than 300 percent of the FPL.

Note: Disability determinations must be made by the Medical Eligibility Determination Team (MEDT) unless disability has been established by SSA. Refer to G-1600, Securing Disability Decisions for B and D Categories.

H-2320.3 Establish Non-Financial Eligibility

Verify eligibility for each member of the assistance/benefit unit with

regard to the following factors:

• Assignment of Third Party Rights I-200 • Citizenship/Identity and Qualified Non-Citizen Status I-300 • Enumeration I-600 • Residence I-1900

H-2320.4 Establish Need A. There is no resource test in determining eligibility. B. Determine Composition of the Income Unit The income unit consists of the following persons living in the home: • Applicant/beneficiary under age 19 who is unmarried, • His/her legal/natural parent(s), and • Any legal siblings under age 19.

Do not include step parents or step siblings.