Page 13

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued June 1, 2026

Page 13 of H-900 Replacing June 08, 2021 Revised/added text indicated by underscore

Deleted text indicated by “” • For the month of admission (the month of eligibility listed on the BHSF Form 142) 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. Exception: o Do not deem income from a spouse or from parents to a child who has been discharged from a facility to his home to receive HCBS. o Do not deem income from parents to a child in the CSoC-SED waiver. o Do not deem income from a parent to a child in HCBS after the first calendar month of admission.

B. Determine Need/ Countable Income

Determine countable gross income of the applicant/beneficiary including any parental deemed income. Refer to I-1530 Need – SSI-Related Income and Z-700 LTC/HCBS SIL Rate, Resource Limits and Personal Care Needs Allowance.

The applicant/beneficiary must be income eligible based on his/her gross income to be eligible for HCBS. If his/her income 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 Aid and Attendance.

Add the gross earned and 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, use the individual SIL.

If the total gross income of the applicant/beneficiary is over the SIL, the applicant/beneficiary is income ineligible. For an applicant eligible to participate in the Community Choices, ADHC, Supports, NOW or ROW program, consider eligibility under HCBS Spend- down MNP Refer to H-1050 Spend-Down Medically Needy - HCBS - SSI-Related.

For an applicant/beneficiary eligible to participate in CSoC-SED, consider eligibility under Spend-Down MNP. Refer to H-1020