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Louisiana Medicaid Eligibility Manual

Eligibility Factors Issued March 31, 2026

Page 3 of I-1400 Replacing October 16, 2025 Revised/added text indicated by underscore

Deleted text indicated by “” • Specified Low-Income Medicare Beneficiary (SLMB); • Qualified Disabled and Working Individuals (QDWI); and • SSI-related cases. Deem income for these individuals: • Ineligible spouse-to-eligible spouse, when living together in a legal or non-legal union (e.g.: Holding out); • Ineligible parents-to-eligible child, when living in the same household; and Note: Deem income from natural and/or legal parents in the home only. Do not deem step-parent income to a child. • Non-citizen sponsor-to-non-citizen, whether or not living in the same household.

It is not equitable to deem the entire amount of income and resources from the ineligible spouse, parent or non-citizen sponsor to the Medicaid applicant/beneficiary. The ineligible person is allowed to allocate income and resources to meet their own needs and those of ineligible children, as well as legal tax dependents of non-citizen sponsors, prior to deeming.

When deeming income from an ineligible parent or non-citizen sponsor, count deemed income as unearned income.

When deeming income from an ineligible spouse, the remaining income of the ineligible spouse, after allocation for ineligible children, is combined with the income of the eligible spouse. The couple is then treated the same as an eligible couple for budgeting purposes. I-1421 DEFINITIONS FOR DEEMING PURPOSES Non-citizen Sponsor A person or agency who signed an affidavit or statement agreeing to support a non-citizen as a condition of the non-citizen's entry into the U.S. as a permanent resident.

Allocation A deduction from income, which is subject to deeming, that is set aside