Page 8

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 24, 2025 Replacing October 17, 2022

Page 8 of H-600 Revised/added text indicated by underscore

Deleted text indicated by “**”

Step 7. Determine total gross earnings.

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

Step 9. 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 10. Combine the remainders in Step 6 and Step 9.

Step 11. Compare total countable income to the current FBR for a couple.

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

If the income is equal to or less than the current FBR for a couple, the applicants/beneficiaries are eligible for Extended Medicaid as a Disabled Adult Child.

H-621.5 Eligibility Decision Evaluate all eligibility requirements and verification received to make the eligibility decision.

Reminder: Explore Retroactive Medical Eligibility. Refer to H-1800.

H-621.6 Certification Period The certification period cannot exceed 12 months.

H-621.7 Notice of Decision Send the appropriate notice of decision to the applicant/beneficiary.