Page 1

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued May 1, 2023

Page 1 of H-3100 Replacing January 23, 2023 Revised/added text indicated by underscore

Deleted text indicated by “**”

H-3100 FORMER FOSTER CARE CHILDREN H-3110 GENERAL INFORMATION

In accordance with §1902(a)(10)(A)(i)(IX) of the Patient Protection and Affordable Care Act (ACA) of 2010, Medicaid coverage must be extended to all individuals under age 26 who were formerly children in foster care.

These individuals are applicants/beneficiaries, under 26 years of age, who were receiving Medicaid and were in foster care under the responsibility of the state at the time of their 18th birthday.

The Patient Protection and Affordable Care Act (ACA) has been amended to grant eligibility and enrollment to former foster care youth who were enrolled in Medicaid and who aged out of foster care in another state on or after January 1, 2023.

There is no income or asset test required and beneficiaries may have other insurance and remain eligible.

Former Foster Care Children (FFC) may also be applicants or beneficiaries who lost eligibility due to moving out of state, but re- established residency prior to reaching age 26.

H-3110.1 COVERAGE

Individuals enrolled in FFC are eligible for the full range of Medicaid covered services.

H-3120 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-3120.1 DETERMINE ASSISTANCE UNIT

The assistance unit consists of the applicant/beneficiary that was formerly a child in foster care and is no longer in state custody.