Page 7

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued April 18, 2022

Page 7 of H-700 Replacing November 1, 2000

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

Step 1. Determine total unearned income of the couple.

Step 2. Subtract one $20 SSI disregard from the total unearned income.

Step 3. The remainder is the countable unearned income.

Step 4. Determine total gross earned income of the couple.

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

Step 6. 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 7. The remainder is the countable earned income.

Step 8. Combine the remainders in Step 3 and Step 7.

Step 9. Compare total countable income to the current FBR for a couple. Refer to Z-400 Federal Benefit Rate (FBR).

If the income is greater than the current FBR for a couple, the applicants/beneficiaries are not eligible for SSI Retroactive Medicaid.

Consider eligibility in H-1030 Spend-Down Medically Needy - SSI related.

If the income is equal to or less than the current FBR for a couple, the applicants/beneficiaries are income eligible for SSI Retroactive Medicaid.

H-721.5 Eligibility Determination Process

Evaluate all categorical and eligibility requirements and verification received to make the eligibility decision for each month.