Page 4

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued April 18, 2022

Page 4 of H-700 Replacing November 1, 2000

Deleted text indicated by “**” Revised/added text indicated by underscore H-721.4 Establish Need

A. Determine Composition of the Income/Resource Unit

The income/resource unit consists of the:

• Applicant/beneficiary,

• Applicant/beneficiary and ineligible spouse (spouse is not disabled nor aged) living in the home,

• Applicant/beneficiary who is a minor and their parent(s) living in the home, or

• Applicants/beneficiaries who are a couple (both are disabled or aged).

B. Determine Need/Countable Resources

Determine total countable resources of the members of the resource unit, including resources deemed from the parents of an applicant/beneficiary who is a minor. Refer to I-1420, Need- Deeming, and to I-1630 Need-SSI Related Resources.

Note: The cash surrender value (CSV) of life insurance is counted if the face value of all policies that can accumulate CSV is greater than $1,500.

The maximum burial fund exclusion for SSI Retroactive Medicaid is $1,500.

For more information, see I-1634 Type of Resources (SSI-Related).

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

If resources are greater than the limit, the applicant/beneficiary is resource ineligible for SSI Retroactive Medicaid.

If resources are equal to or less than the limit, the applicant/beneficiary is resource eligible for SSI Retroactive Medicaid.