Page 6

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued April 14, 2022 Replacing July 1, 2014

Page 6 of H-3300 Revised/added text indicated by underscore

Deleted text indicated by “**” applicant/beneficiary is ineligible and there is no deeming – consider MNP. If the applicant’s/beneficiary’s income is less than the individual income standard, apply I-1424.2 Income Deeming Procedures

**

Couple

If both members of a couple are potentially eligible, complete the following steps:

Step 1. Determine total unearned income of the couple.

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

Step 3. The remainder is the countable unearned income.

Step 4. Determine total gross earned income of the couple.

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

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

Step 7 The remainder is the countable earned income.

Step 8. Combine the remainders in Step 3 and Step 7.

Step 9. Compare total countable income to the current FBR for a couple. Refer to Z-400 Federal Benefit Rate (FBR).

If the income is greater than the current FBR for a couple, the applicants/beneficiaries are not eligible for Provisional Medicaid.

Consider eligibility in H-1030 Spend-Down Medically Needy - SSI related.

If the income is equal to or less than the current FBR for a couple, the applicants/beneficiaries are income