Page 16

Louisiana Medicaid Eligibility Manual

Eligibility Factors Issued March 31, 2026

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

Deleted text indicated by “” Step 4. Total the earned and unearned income of the sponsor of the non-citizen and their spouse living in the home, if any. Step 5. Subtract from the total income: • The FBR for one (1) person, as the allowance for the sponsor; • The essential person allowance for the spouse of the sponsor if any; and • The ineligible child allowance for each legal dependent of the sponsor other than the non-citizen and spouse of the non-citizen. Note: Do not subtract the income of an ineligible child from the allowance.

If the husband and wife are both sponsors of the non-citizen, subtract the FBR for each and deduct the ineligible child allowance only once for each legal dependent.

The remaining income of the sponsor and spouse is deemed to the non-citizen. Do not count the needs of the sponsor (or spouse of the sponsor) in the Medically Needy Income Eligibility Standard (MNIES) because their needs were considered in Step 5 above of the deeming process.

I-1425 CHANGES IN DEEMING STATUS

Certain changes in the household can affect deeming status. Such changes are effective the month after the change occurs, except as noted: • Ineligible spouse becomes eligible: o Treat as an eligible couple effective the month of the change in status; • Domestic Partner’s claim they are holding out as a married couple; • Spouses separate or divorce; • Eligible individual begins living with an ineligible spouse; • Death of ineligible spouse or parent; or • Child reaches age 18 or 21.