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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 4 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

H-620 DISABLED ADULT CHILDREN (DAC) H-620.1 General Information Public Law 99-643 requires continuing Medicaid eligibility for individuals who are at least age 18 who:

 Became blind or disabled before age 22, and

 Lost SSI eligibility on or after July 1, 1987, as the result of entitlement to or increase in Child Insurance Benefits under Title II of the Social Security Act (RSDI).

Child Insurance Benefits are received by dependents based on a parent’s RSDI record. It is identified by the Beneficiary Identification Code (BIC) of “C” in the Social Security claim number. (Ex. 123-45- 6789-C1)

In the Extended Medicaid eligibility determination for Disabled Adult Children, disregard:

 The amount of RSDI (DAC) entitlement or increase which causes SSI ineligibility, and

 All RSDI COLAs received after SSI eligibility was lost.

Note: If the individual is receiving Child Insurance Benefits on more than one parent’s record, disregard all amounts regardless of which one actually causes SSI ineligibility.

H-621 ELIGIBILITY DETERMINATION PROCESS Determine eligibility by applying the following criteria. The elements have been listed in the most logical order, but work on all steps simultaneously.