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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 20 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

couple, the applicants/beneficiaries are income ineligible for Extended Medicaid under the Pickle Amendment. Consider eligibility in MNP.

If the income is equal to or less than the current FBR for a couple, the applicants/beneficiaries are eligible for Extended Medicaid under the Pickle Amendment.

Note: An individual who loses SSI benefits because of receipt of a Title II (RSDI) COLA which increases their countable income to exactly the amount of the FBR (non-pay status EO1/NO1) is technically entitled to SSI and thus, Medicaid eligible under the Pickle Amendment (Group One).

C-2. Determine Need/Countable Income for Group Two Individual

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

Step 1. Determine current RSDI.

Step 2. Subtract all RSDI COLAs received subsequent to the loss of SSI/MSS.

Step 3. The remainder is the countable RSDI.

Step 4. Add any other countable unearned income.

Step 5. Subtract $20 SSI disregard from unearned income.

Step 6. Determine gross earned income.

Step 7. Subtract any balance of $20 SSI disregard from gross earnings.

Step 8. Subtract earned income deduction of $65 and one-half of remainder from remaining gross earnings.

Step 9. Combine amounts from Steps 6 and 8.