Page 11

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 11 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

H-641.1 Determine Assistance/Benefit Unit The assistance/benefit unit consists of the applicant/beneficiary. H-641.2 Establish Categorical Requirement At the time of SSI loss due to income, SSA has determined that the applicant/beneficiary meets the blindness or disability requirement.

NOTE: EW/W SSA benefits are entitled based on age and not disability. After 12 months from SSI loss, disability needs to be determined for the beneficiary.

H-641.3 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 ● Residence

I-1900 ● SSI Requirement: Loss of SSI

H-610

H-641.4 Establish Need A. Determine Composition of the Income/Resource Unit

The income/resource unit consists of the:

● Applicant/beneficiary,

● Applicant/beneficiary and ineligible spouse living in the home, or