Page 12

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 12 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

● Applicants/beneficiaries who are a couple.

B. Determine Need/Countable Resources

Determine total countable resources of the members of the resource unit. Refer to I-1630 Need - SSI-Related Resources.

Compare the countable resources to the SSI resource limit for the number in the resource unit. Refer to Z-900 Resource Limits By Program.

If resources are greater than the limit, the applicant/beneficiary is ineligible for Extended Medicaid as a Widow(er).

If resources are equal to or less than the limit, the applicant/beneficiary is resource eligible for Extended Medicaid as a Widow(er).

C. Determine Need/Countable Income

Individual

If the applicant/beneficiary is an individual with no spouse or with an ineligible spouse with no income, complete the following steps:

Step 1. Disregard the full amount of Widow(er)s RSDI benefits.

Step 2. Determine total unearned income.

Step 3. Subtract $20 SSI disregard from unearned income.

Step 4. Determine total gross earned income.

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

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

Step 7. Combine remainders from Step 3 and Step 6.