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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 1 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

H-600 EXTENDED MEDICAID H-610 GENERAL INFORMATION

Medicaid coverage is protected for certain individuals who lose SSI/MSS eligibility.

To qualify for coverage in one of the Extended Medicaid programs, an applicant/beneficiary must have been eligible for both SSI (MSS) and RSDI in at least one month since April 1977 and:

● Received both a SSI or MSS payment and a RSDI payment, or

● Received SSI and was entitled to RSDI.

**

If a SSI recipient becomes entitled to RSDI benefits retroactively to a month in which he was receiving a SSI payment, the RSDI lump sum payment will be offset by the amount of the SSI payment. Even though the RSDI may offset the entire amount of SSI received, the individual still meets this requirement.

This requirement is met in situations where the individual is simultaneously entitled to RSDI and receiving a SSI or State supplemental payment for only one month, and that month is also the first month of entitlement to the RSDI benefit.

Example:

An individual who is already receiving SSI in June becomes entitled to RSDI effective that month as well. Entitlement to RSDI effective June 1 raises the individual's income to a point above the SSI income standard, and he/she loses SSI beginning July 1. The individual did not receive RSDI in June, because RSDI benefits are paid retrospectively; i.e. the benefit for June is not actually paid until July. However, the individual was entitled to RSDI as of June 1, the last