Page 15

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued June 1, 2026

Page 15 of H-900 Replacing June 08, 2021 Revised/added text indicated by underscore

Deleted text indicated by “” Down Medically Needy - Home and Community Based Services - SSI Related.

C. Determine Composition of the Resource Unit

The resource unit consists of: • The applicant/beneficiary; • Applicant/beneficiary and community spouse; or • 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/she lived during the month. Refer to I-1420 Need - Deeming. After the first month of eligibility, the income/resource unit only consists of the HCBS individual.

Exception: Do not deem resources from parents to a child who has been discharged from a facility to his/her home to receive HCBS.

D. Determine Need/Countable Resources

Determine eligibility with regard to resources:

Determine total countable resources of the applicant/beneficiary or couple. Refer to I-1630 Need - SSI-Related Resources.

If the applicant/beneficiary has a community spouse, refer to I-1660 Spousal Impoverishment Resource Provisions (LTC/HCBS) . Resources transferred for less than FMV with the 60 month look- back period, make the applicant/beneficiary ineligible for the waiver program for the duration of the penalty period.

Equity interest in home property that exceeds the allowable limit, makes the applicant/beneficiary resource ineligible for the waiver program.

Eligibility should be considered in other non-waiver programs. Refer to I-1670 Transfer of Assets For Less Than Fair Market Value.

• Compare total countable resources to the SSI resource limit for an individual (or couple). Refer to Z-900 Resource Limits