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Louisiana Medicaid Eligibility Manual Eligibility Factors

October 1, 2024

Page 1 of I-100 Replacing November 6, 2023 Revised/added text indicated by underscore

Deleted text indicated by “**” I-100 AGE - MAGI RELATED I-110 REQUIREMENT

Parents and Caretaker Relatives, Transitional Medicaid, and MAGI-Based Medically Needy Program (MNP)

In order to be considered in the Parents and Caretaker Relatives Group (PCR) and Transitional Medicaid, the parents or caretaker relatives must be living with and assuming primary responsibility for the care of a dependent child who is under age 18. If the child is age 18 and a full-time student, continue Medicaid through the month the child completes their course of study if both the following conditions are met:

• The child is a full time student in high school or in vocational or technical training at a level equivalent to high school, and • The child is expected to complete the course of study before or during the month of their 19th birthday.

Refer to I-140 School Attendance.

Children Under Age 19 Group A child must be under age 19 to be considered in CHAMP, LaCHIP, and LaCHIP Affordable Plan.

I-120 VERIFICATION Self-attestation of Age shall be accepted unless a discrepancy is found through available electronic data sources used by Agency. Refer to MEM S-0000 Verification and Documentation.

If any discrepancies are found for the age of a child, give the individual reasonable opportunity to provide documentary evidence such as an official birth record, hospital birth record, or baptismal certificate from a church with valid records.

If the applicant/beneficiary is unable to obtain the above documents the following, which include the child’s name and birthday, may be used: • Medical records other than the hospital birth record, • Licensed midwife records, • Immunization or other Health Unit records,