Page 15

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 15 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

H-650 PICKLE H-650.1 GENERAL INFORMATION Public Law 94-566, Section 503, protects Medicaid coverage for two different groups of aged, blind, or disabled persons who become ineligible for SSI or MSS as the result of:

● A cost of living increase in RSDI benefits, or

● Any other income reason.

Group One consists of individuals who:

• Are currently receiving RSDI benefits under Title II,

● Were eligible to receive both SSI/MSS and RSDI in at least one month since April 1, 1977 (Refer to H-610 General Information on entitlement requirements), and

● Lost SSI/MSS as the direct result of a RSDI COLA.

In the Extended Medicaid eligibility determination for Group One, disregard:

● The RSDI COLA that resulted in the termination of SSI/MSS, and

● All subsequent RSDI COLAs for the applicant/beneficiary and spouse.

Group Two consists of individuals who:

• Are currently receiving RSDI benefits under Title II,

● Were eligible to receive both SSI/MSS and RSDI in at least one month since April 1, 1977 (Refer to H-610 General Information on entitlement requirements),

and

● Lost SSI/MSS eligibility for some income reason other than a RSDI COLA (increase in or receipt of Title II