Page 17

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 17 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

● SSI Requirement: Loss of SSI

H-610 H-651.4 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,

● A minor applicant/beneficiary and his parent(s) living in the home, or

● Applicant/beneficiary who are a couple. B. Determine Need/Countable Resources Determine total countable resources of the members of the resource unit including resources deemed from the parents of an applicant/beneficiary who is a minor. Refer to I-1630 Need - SSI-Related Resources, and to I-1400, Need - Deeming.

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 under the Pickle Amendment.

If resources are equal to or less than the limit, the applicant/beneficiary is resource eligible for Extended Medicaid under the Pickle Amendment. C-1. Determine Need/Countable Income for Group One Individual

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