Page 5

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued April 14, 2022 Replacing July 1, 2014

Page 5 of H-3300 Revised/added text indicated by underscore

Deleted text indicated by “**” NOTE: In-kind support and maintenance (ISM) is counted for the Provisional Medicaid program. (For more information on ISM, see I-1534 Types of Income - SSI Related).

Step 2. Subtract $20 SSI disregard from unearned income.

Step 3. The remainder is the countable unearned income.

Step 4. Determine total gross earned income.

Step 5. Subtract any remainder of $20 SSI disregard from gross earnings.

Step 6. Subtract earned income deduction from remaining gross earnings. Earned income deduction is $65 and one-half of remainder of earnings.

Step 7. The remainder is the countable earned income.

Step 8. Combine remainders from Step 3 and Step 7.

Step 9. Compare to Federal Benefit Rate (FBR) Income Standard for Individual. If income is greater than the individual limit, the applicant/beneficiary is ineligible. Refer to Z-400 Federal Benefit Rate (FBR).

Consider the individual for eligibility in H-1030 Spend- Down Medically Needy - SSI related (MNP).

Note: Do not count ISM in determining eligibility for MNP (See I-1534 Types of Income (SSI Related) ).

Compare to FBR Income Standard for Individual. If income is equal to or less than the individual limit, the applicant/beneficiary is eligible. Refer to Z-400 Federal Benefit Rate (FBR).

Ineligible Spouse Deeming

If there is an ineligible spouse with income, complete steps 1 through 7 listed above using only the applicant’s/beneficiary’s income. If the income is equal to or greater than the individual limit (Refer to Z-400 Federal Benefit Rate (FBR)), the