Page 7

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 7 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

Step 9. Subtract earned income deduction from remaining gross earnings. Earned income deduction is $65 and one-half of remainder of earnings.

Step 10. Combine remainders from Step 6 and Step 9.

Step 11. Compare to Income Standard for Individual. If income is

** greater than the individual Federal Benefit Rate (FBR) limit, the applicant/beneficiary is ineligible.

Ineligible Spouse Deeming

If there is an ineligible spouse with income, complete budget steps 1 through 11 above using only the applicant/beneficiary’s income. If the income is ** greater than the individual limit, the applicant/beneficiary is ineligible and there is no deeming. If the applicant/beneficiary’s income is equal to or less than the FBR for one, apply deeming policy, I-1424.2 Income Deeming Procedures.

Note: In the deeming process, subtract COLAs from the RSDI of the ineligible spouse for the same years used for the applicant/beneficiary.

Couple

If both members of a couple are potentially eligible, complete steps 1 through 4 separately for each individual and go to Step 5.

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 one $20 SSI disregard per income unit, if applicable.