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Louisiana Medicaid Eligibility Manual

Eligibility Factors Issued March 31, 2026

Page 1 of I-1400 Replacing October 16, 2025 Revised/added text indicated by underscore

Deleted text indicated by “” I-1400 NEED I-1410 GENERAL INFORMATION

An applicant/beneficiary shall be considered in need if their income and resources meet certain program standards.

All of the current and available income and resources of the applicant/beneficiary are considered in determining need for non- Modified Adjusted Gross Income (MAGI)-related (formerly D-related) programs.

I-1411 RESERVED

I-1415 PROHIBITED SSI PROVISIONS

If an agency provides Medicaid to aged, blind or disabled individuals receiving Supplemental Security Income (SSI), it must provide Medicaid to individuals who would be eligible for SSI, except for an eligibility requirement in SSI that is specifically prohibited under Medicaid.

Apply prohibited SSI provisions (PSP) at the conclusion of the SSI-related Medicaid eligibility determination if any of the following factors cause ineligibility. The individual must meet all other SSI eligibility factors, except for the prohibited eligibility requirement.

Deeming of Income and Resources

Medicaid regulations prohibit counting certain income and resources available in determining Medicaid eligibility for the following individuals:

Do not consider the income and resources of a step-parent or grandparent as available to a child.