Page 17

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued January 6, 2026 Page 17 of H-800 Replacing August 11, 2025 Revised/added text indicated by underscore Deleted text indicated by “**”  Residence

I-1900 H-841.4 Establish Need

A. Determine Composition of the Income Unit

The income/resource unit consists of:

● The applicant/beneficiary;

● Applicants/beneficiaries who are a couple (legally married) residing in the same SNF; or

● For the month of admission only, the applicant/beneficiary who is a minor and the parent(s) with whom he lived during the month. Refer to I-1420 Need - Deeming.

B. Determine Need/Income

Determine the gross income of the applicant/beneficiary including any parental deemed income. Refer to I-1530 Need - SSI-Related Income.

The applicant/beneficiary must have gross income which is equal to or below the SIL to be eligible for Medicaid coinsurance. If his/her income before any deductions or allowances is greater than the SIL, consider for Spend-down MNP. Refer to H-1030 Spend-Down Medically Needy - SSI-Related.

Note: Exclude any income received from VA Pension for Aid and Attendance from the gross income computation.

Add the gross earned and the gross unearned income, including any income deemed from the parent(s), and compare the total to the SIL. If the applicant/beneficiary is an individual, including a minor child, who has income deemed from the parent(s), use the individual SIL.

If the total gross income is greater than the SIL, the applicant/beneficiary is income ineligible. Consider eligibility in Spend-down MNP.

If the total gross income is equal to or less than the SIL, the applicant/beneficiary is income eligible. Continue the determination