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Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 6 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

B. Determine Need/Countable Resources

Determine total countable resources of the members of the resource unit. Refer to I-1630, Need - SSI-Related Resources.

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

If resources are greater than the limit, the applicant/beneficiary is ineligible for Extended Medicaid as a Disabled Adult Child.

If resources are equal to or less than the limit, the applicant/beneficiary is resource eligible for Extended Medicaid as a Disabled Adult Child.

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 amount of RSDI entitlement or increase which caused SSI ineligibility.

Step 3. Subtract all RSDI COLAs received subsequent to loss of SSI.

Step 4. The remainder is the countable RSDI.

Step 5. Add any other countable unearned income.

Step 6. Subtract $20 SSI disregard from unearned income.

Step 7. Determine total gross earned income.

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