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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 22 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

Step 7. Determine total gross earned income.

Step 8. Subtract any balance of the $20 SSI disregard from gross earnings.

Step 9. Subtract one earned income deduction from the remaining gross earnings of the income unit.

Step 10. Compare total countable income to the current FBR for a couple.

If the income is ** greater than the current FBR for a couple, the applicants/beneficiaries are not eligible for Extended Medicaid as a Pickle 2. 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.

** H-651.5 Eligibility Decision Evaluate all eligibility requirements and verifications received to make the eligibility decision.

Reminder: Explore Retroactive Medical Eligibility. Refer to H-1800. H-651.6 Certification Period The certification period cannot exceed 12 months.

H-651.7 Notice of Decision Send the appropriate notice of decision to the applicant/beneficiary.