Page 3

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued April 14, 2022 Replacing July 1, 2014

Page 3 of H-3300 Revised/added text indicated by underscore

Deleted text indicated by “**” H-3340.3 Establish Non-Financial Eligibility

Verify eligibility with regard to the following factors:

• Assignment of Third Party Rights I-200

• Citizenship/Identity and Qualified Non-Citizen Status I-300

• Enumeration I-600

• Residence I-1900

H-3340.4 Establish Need

A. Determine Composition of the Income/Resource Unit

The income/resource unit consists of the:

• Applicant/beneficiary,

• Applicant/beneficiary and ineligible spouse (is not disabled nor aged) living in the home,

• Applicant/beneficiary who is a minor and his parent(s) living in the home, or

• Applicants/beneficiaries who are a couple (both are disabled or aged)

B. Determine Need/Countable Resources

Determine total countable resources of the members of the resource unit, including resources deemed from the parents of an applicant/beneficiary who is a minor. Refer to I-1420, Need- Deeming, and to I-1630 Need-SSI Related Resources.

Note: The cash surrender value (CSV) of life insurance is counted if the face value of all policies that can accumulate CSV is greater than $1,500.

The maximum burial fund exclusion for Provisional Medicaid is $1,500.

For more information, see I-1634 Type of Resources (SSI-Related).