Page 3

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued October 11, 2022

Page 3 of H-2500 Replacing June 14, 2016 Revised/added text indicated by underscore

Deleted text indicated by “**”

** H-2520.5 ELIGIBILITY DECISION

Evaluate all eligibility requirements to determine if the youth is eligible.

H-2520.6 CERTIFICATION PERIOD

The certification period may be effective no earlier than three (3) months prior to the application date provided the individual is otherwise eligible. The months of retroactive coverage are not included in the twelve (12) month certification period. The twelve (12) month certification period begins with the month of application.

Retroactive medical eligibility shall be explored for the three months prior to the month of application. Refer to H-1800 Retroactive Medical Eligibility (RME).

Note: Prior to closure of the Youth Aging Out of Foster Care, eligibility in other programs must be explored.

H-2520.7 NOTICE OF DECISION

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