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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 14, 2023 Replacing August 29, 2022 Page 3 of H-3800 Revised/added text indicated by underscore Deleted text indicated by “” Disability Decisions for Non-Magi (Formerly B and D) Categories

H-3820.3 Establish Non-Financial Eligibility

Verify eligibility for the applicant/beneficiary with regard to the following factors:

• Assignment of Third Party Rights

I-200 • Citizenship/Identity/Qualified Non-Citizen Status I-300 • Enumeration

I-600 • Medical Certification

I-1000 • Residence

I-1900

H-3820.4 Establish Need

A. Determine Composition of the Income Unit

The income unit consists of the applicant/beneficiary.

B. Determine Composition of the Resource Limit

The resource unit consists of the applicant/beneficiary.

** C. Determine Need/Countable Income

Determine the gross income of the applicant/beneficiary. Parent-to- child income deeming is not applicable. Refer to I-1530 Need - SSI-Related Income and Z-700 SIL Rate, Resource Limits & Personal Care Needs Allowance.

The applicant/beneficiary must be income eligible based on their own income to be eligible for Act 421-CMO. If the total gross income of the applicant/beneficiary is over the SIL, the applicant/beneficiary is ineligible for Act 421-CMO.