Page 2

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued June 11, 2021

Page 2 of H-3010 Replacing May 22, 2014 Revised/added text indicated by underscore

Deleted text indicated by “**” H-3012 Coverage

A deemed newborn is eligible for the full range of Medicaid covered services for the first year of life.

Prior to closure of the deemed newborn’s coverage, eligibility in other programs must be explored.

H-3013 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-3013.1 Reserved

H-3013.2 Establish Categorical Requirement

Verify that the newborn has not reached their first birthday and that the mother was eligible on the date of birth.

H-3013.3 Establish Non-Financial Eligibility

The mother must be Medicaid eligible at the time of the newborn’s birth. This includes a mother who is determined retroactively eligible for the date of the newborn’s birth. See I-1200 Mother's Medicaid Eligibility.

Enumeration for deemed newborns ** is accomplished by filing for a birth certificate.

Note: Support Enforcement Services (SES) referral is not an eligibility factor for deemed newborns.

H-3013.4 Reserved