Page 12

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued June 1, 2026

Page 12 of H-900 Replacing June 08, 2021 Revised/added text indicated by underscore

Deleted text indicated by “”

H-921.2 Establish Categorical Requirements

Verify that the applicant/beneficiary is: • Aged; • Blind; or • Disabled.

Refer to E-0000 Category.

Exception: For the CSoC-SED, the only categorical requirement is that an applicant/beneficiary meets the CSoC 1915(c) level of care.

H-921.3 Establish Non-financial Eligibility

Verify eligibility for the applicant/beneficiary with regard to the following factors:

• Assignment of Third Party Rights

I-200 • Citizenship/Identity/Qualified Non-Citizen Status I-300 • Continuity of Stay

I-400 • Enumeration

I-600 • Medical Certification

I-1000 • Residence

I-1900

H-921.4 Establish Need

Verify that the applicant/beneficiary has been offered an opportunity (slot) for HCBS.

A. Determine Composition of the Income Unit

The income unit consists of: • The applicant/beneficiary; • Applicants/beneficiaries who are a couple and both receive HCBS waiver services; or