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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued March 14, 2023 Replacing August 29, 2022 Page 4 of H-3800 Revised/added text indicated by underscore Deleted text indicated by “”

D. Determine Need/Countable Resources

Determine countable resources of the applicant/beneficiary. Parent-to-child resource deeming is not applicable. Refer to I-1630, Need – Non-MAGI Related Resources.

Compare countable resources to the SSI resource limit for an individual. Refer to Z-900 Resource Limits by Program. If countable resources are equal to or less than the SSI resource limit for an individual, the applicant/beneficiary is resource eligible for the Act 421-CMO program.

If countable resources are greater than the SSI resource limit for an individual, the applicant/beneficiary is resource ineligible.

H-3820.5 Eligibility Decision

Evaluate all eligibility requirements and verifications received to make the eligibility decision to either reject, close, certify or continue eligibility.

H-3820.6 Certification Period

The certification period for Act 421-CMO shall not exceed 12 months.

Eligibility cannot begin prior to the first of the month of the medical certification and no earlier than three months prior to the application date.

H-3820.7 Notice of Decision

Send the notice of decision to the applicant/beneficiary. A copy of the notice will be issued to the LGE.