Page 25

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 25 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

Compare the countable resources to the SSI resource limit for the number in the resource unit. Refer to Z-900 Resource Limits By Programs.

If resources are greater than the limit, the applicant/enrollee is ineligible for Extended Medicaid as a Disabled W/W/DS.

If resources are equal to or less than the limit, the applicant/enrollee is resource eligible for Extended Medicaid as a Disabled W/W/DS.

C. Determine Need/Countable Income

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 the full amount of Disabled W/W/DS RSDI benefits received.

Step 3. ** Add any other countable unearned income.

Step 4. Subtract $20 SSI disregard from unearned income.

Step 5. Determine total gross earned income.

Step 6. Subtract any remainder of $20 SSI disregard from gross earnings.

Step 7. Subtract earned income deduction from remaining gross earnings. Earned income deduction is $65 and one-half of remainder of earnings.

Step 8. Combine remainders from Step 5 and Step 8.

Step 9. Compare to Income Standard for Individual. Refer to Z-400 Federal Benefit Rate. If income is ** greater than the individual limit, the applicant/beneficiary is ineligible.

Ineligible Spouse Deeming