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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued April 14, 2022 Replacing July 1, 2014

Page 4 of H-3300 Revised/added text indicated by underscore

Deleted text indicated by “**”

Compare the countable resources to the SSI resource limit for the number of persons in the resource unit. Refer to Z-900 Resource Limits by Program .

If resources are greater than the limit, the applicant/beneficiary is resource ineligible for Provisional Medicaid.

If resources are equal to or less than the limit, the applicant/beneficiary is resource eligible for Provisional Medicaid.

C. Determine Need/Countable Income

Individual

If the applicant/beneficiary is an individual with no spouse or with an ineligible spouse with no income, go to Step 1.

Parent(s) to Child Deeming

If the applicant beneficiary is a minor child, apply deeming policy I- 1424.2, Need – Deeming. Any income deemed from the parent(s) is considered unearned income of the applicant/beneficiary in the individual steps. Go to Step 1.

Note: If there is more than one eligible child in the household, divide the income deemed from the parent’s equally among them.

Exception: Deeming of income or resources is not applicable to newborns who have never been discharged from the hospital and are expected to remain in the hospital for more than 30 days. Deeming is only applicable the month after the newborn is discharged. Refer to I- 1422, When Deeming is Not Applicable and G-1620, Simplified Disability Decisions for Infants.

Note: Consider eligibility for children under age 19 in a MAGI Child group before Provisional Medicaid.

** Complete the following budget steps:

Step 1. Determine total countable unearned income.