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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued November 06, 2023 Page 1 of H-2800 Replacing July 20, 2016 Revised/added text indicated by underscore Deleted text indicated by “**” H-2800 PARENTS AND CARETAKER RELATIVES GROUP H-2801 GENERAL INFORMATION The Affordable Care Act of 2010 established a new Medicaid eligibility group called Parents and Caretaker Relatives (PCR). These adults were formerly considered for the Low Income Families with Children (LIFC) program as a parent or caretaker relative. Effective January 1, 2014, this ** group included individuals with income less than or equal to 24 percent of the Federal Poverty Level (19 percent FPL plus the 5 percent disregard).

Note:

Effective July 1, 2016, only apply the 5 percent disregard to those parents or caretaker relatives whose income is over 19 percent FPL and who cannot be considered under the Adult Group (i.e. parent or caretaker over age 64 or entitled to Medicare). For all others, apply the 5 percent disregard only when being considered under the Adult Group

Eligibility will be determined using Modified Adjusted Gross Income (MAGI) based income standards. H-2802 ELIGIBILITY DETERMINATION PROCESS Determine eligibility by applying the following criteria. The elements have been listed in the most logical order, but work on all steps simultaneously. H-2802.1 Assistance Unit A caretaker relative is a relative of a dependent child by blood, adoption, or marriage with whom the child is living, and who assumes primary responsibility for the child’s care. As may, but is not required to, be indicated by claiming the child as a tax dependent for federal income tax purposes. A caretaker relative is one of the following: • Parent; • Grandparent; • Sibling (brother or sister); • Brother-in-law; • Sister-in-law; • Step-parent;