Page 2

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued April 14, 2022 Replacing July 1, 2014

Page 2 of H-3300 Revised/added text indicated by underscore

Deleted text indicated by “**” that considered by SSA in making its determination, or

• claims that his or her condition has deteriorated and it has been more than 12 months since the most recent SSA disability denial

• SSA has denied the application based on disability in the last twelve (12) months and the applicant provides documentation that the SSA decision has been timely appealed. H-3330 COVERAGE

Provisional Medicaid beneficiaries receive the full range of Medicaid covered services.

H-3340 ELIGIBILITY DETERMINATION PROCESS

Determine eligibility by applying the following criteria. Elements have been listed in the most logical order, but work on all steps simultaneously.

H-3340.1 Determine Assistance Unit

The assistance unit includes the applicant/beneficiary or both members of a couple (legal or non-legal) if they meet the Provisional Medicaid criteria.

H-3340.2 Establish Categorical Requirement

Verify that the applicant/beneficiary is:

• Aged;

• Blind; or

• Disabled.

Refer to E-0000 Category.