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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 16 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

[RSDI] or other income), and

• Would again be eligible for SSI except for COLAs received since the loss of SSI.

In the Extended Medicaid eligibility determination for Group Two, disregard all RSDI COLAs received after SSI/MSS eligibility was lost for the applicant/beneficiary and spouse.

H-651 ELIGIBILITY DETERMINATION PROCESS Determine eligibility by applying the following criteria. The elements have been listed in the most logical order, but work on all steps simultaneously.

H-651.1 Determine Assistance/Benefit Unit The assistance/benefit unit consists of the applicant/beneficiary.

H-651.2 Establish Categorical Requirement SSA has determined that the applicant/beneficiary meets the age, blindness, or disability requirement.

H-651.3 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