Page 6

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued April 18, 2022

Page 6 of H-700 Replacing November 1, 2000

Deleted text indicated by “**” Revised/added text indicated by underscore

Step 4. Determine total gross earned income.

Step 5. Subtract any remainder of $20 SSI disregard from gross earnings.

Step 6. Subtract earned income deduction from remaining gross earnings. Earned income deduction is $65 and one-half of remainder of earnings.

Step 7. The remainder is the countable earned income.

Step 8. Combine remainders from Step 3 and Step 7.

Step 9. Compare to Federal Benefit Rate (FBR) Income Standard for Individual. If income is greater than the individual limit, the applicant/beneficiary is ineligible. Refer to Z-400 Federal Benefit Rate (FBR).

Consider the individual for eligibility in H-1030 Spend- Down Medically Needy - SSI related (MNP).

Note: Do not count ISM in determining eligibility for MNP (See I-1534 Types of Income (SSI Related) ).

Compare to FBR Income Standard for Individual. If income is equal to or less than the individual limit, the applicant/beneficiary is eligible. Refer to Z-400 Federal Benefit Rate (FBR).

Ineligible Spouse Deeming

If there is an ineligible spouse with income, complete steps 1 through 9 listed above using only the applicant/beneficiary’s income. If the income is greater than the individual limit (Refer to Z-400 Federal Benefit Rate (FBR)), the applicant/beneficiary is ineligible and there is no deeming – consider MNP. If the applicant/beneficiary’s income is less than the individual income standard, apply I-1424.2 Income Deeming Procedures

Couple

If both members of a couple are potentially eligible, complete the following steps: