Page 9

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued January 6, 2026 Page 9 of H-800 Replacing August 11, 2025 Revised/added text indicated by underscore Deleted text indicated by “**” countable resource to the SSI recipient or if it will be treated as a transfer of resources. Transfer of resources for less than FMV made by the SSI recipient must be explored before determining eligibility for vendor payment. Refer to I-1670 Transfer of Resources For Less Than Fair Market Value.

H-830.5 Continued SSI Benefits For Recipients Expected To Be Temporarily Institutionalized

Refer to I-1534 Supplemental Security Income (SSI).

H-831 ELIGIBILITY DETERMINATION PROCESS Determine eligibility by applying the following criteria. The elements have been listed in the most logical order, but work on all steps simultaneously.

Consider possible eligibility under policy for grandfathered beneficiaries if the case was grandfathered and/or converted. Refer to Z-1000 Maximum Resource Limits as of 12-73 for Grandfathered/Converted SSI Recipients.

H-831.1 Determine Assistance/Benefit Unit The assistance/benefit unit consists of the applicant/beneficiary.

H-831.2 Establish Categorical Requirement Verify that the applicant/beneficiary is:

● Aged;

● Blind; or

● Disabled.

Refer to E-0000 Category.

H-831.3 Establish NonFinancial- Eligibility Verify eligibility for the applicant/beneficiary with regard to the following factors: