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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 2 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

month for which the individual was also eligible for and received a SSI benefit. Because entitlement to RSDI occurred in the same month as eligibility for and receipt of a SSI benefit (June), the individual can qualify for eligibility under the PICKLE amendment provided all other eligibility requirements are met.

Verify that the individual received benefits and was eligible for the benefits in at least one month since April 1977.

Verify in the following order:

● Case record documentation, if available, or

● SSA records, correspondence, or forms.

Note: It may be necessary to request a payment history from SSA for SSI and RSDI, if verification cannot be established through SSA on-line files.

H-610.1 Extended Medicaid Programs

Extended Medicaid is provided for applicants/beneficiaries who meet all eligibility requirements for coverage:

● As Disabled Adult Children,

● As Disabled Widow/Widowers,

● As Early Widow(er)s,

● Under the Pickle Amendment (result of the Lynch v. Rank decision), or

● As Disabled Widow(er)s/Divorced Spouses.

All SSI eligibility factors must continue to be met. SSI income standards are used in combination with budgeting rules, which allow the exclusion of certain benefits and COLAs.

If one member of a couple is applying he/she must be income eligible based on his/her income alone.