Page 4

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued November 06, 2023 Page 4 of H-2800 Replacing July 20, 2016 Revised/added text indicated by underscore Deleted text indicated by “**” H-2802.6 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.

H-2802.7 Notice of Decision Send the appropriate notice of decision to the applicant/beneficiary