Page 26

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 26 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

If there is an ineligible spouse with income, complete budget steps 1 through 10 above using only the applicant/beneficiary income. If the income is greater than the individual limit, the applicant/beneficiary is ineligible and there is no deeming. If the applicant/recipient's income is equal to or less than the FBR for one, apply deeming policy, I-1424.2 Income Deeming Procedures.

**

Couple

If both members of a couple are potentially eligible complete Steps 1 through 3 separately for each individual and go to Step 4.

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 one $20 SSI disregard per income unit.

Step 5. Determine total gross earned income of the couple.

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

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

Step 8. Combine the remainders in Step 5 and Step 8.

Step 9. Compare total countable income to the FBR for a couple.

If the income is ** greater than the current FBR for a couple, the applicants/beneficiary are not eligible for Extended Medicaid as a Disabled W/W/DS. Consider eligibility in MNP.

If the income is equal to or less than the current FBR for a couple, the applicants/beneficiary are eligible for Extended Medicaid as a