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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 13 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

Step 8. Compare to Income Standard for Individual. If income is ** greater than the individual FBR limit, the applicant/beneficiary is ineligible.

Ineligible Spouse Deeming

If there is an ineligible spouse with income, complete steps 1 through 8 above using only the applicant/beneficiary’s income. If the income is ** greater than the individual limit, the applicant/beneficiary is ineligible and there is no deeming. Consider MNP. If the applicant/recipient's income is equal to or less than the FBR for one, apply deeming policy, I-1424.2 Income Deeming Procedures.

**

Couple

If both members of a couple are potentially eligible, complete the following steps:

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

Step 2. Combine all unearned income of the couple

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

Step 4. Combine all earned income of the couple.

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

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

Step 7. Combine the remainders in Step 3 and Step 6.

Step 8. Compare total countable income to the current FBR for a couple.

If the income is ** greater than the current FBR for a couple, the applicant/beneficiary is not eligible for Extended Medicaid as a Widow(er). Consider eligibility in MNP.