Page 2

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued August 11, 2025

Page 2 of I-1530 Replacing February 17, 2025

Deleted text indicated by “” Revised/added text indicated by underscore

• Transportation problems,

• The applicant/beneficiary had previously filed and was denied benefits for reasons that have not changed, or

• There is a delay in payment for reasons, which are beyond the applicant/beneficiary’s control.

If the applicant/beneficiary is eligible for a benefit but chooses not to receive the benefit:

• Verify the amount of the benefit available, and

• Budget that amount as though actually received when determining eligibility and, if LTC, patient liability.

Exception: If an individual has a life insurance policy which allows him/her to receive their death benefit while living, and the individual meets the insurance company's requirements for receiving such proceeds, s/he is not required to file for such proceeds.

If unable to determine the amount of benefits available because of the applicant/beneficiary inability or refusal to cooperate, refer to G-1100 Cooperation.

Referrals

Refer applicants/beneficiaries for the following benefits and follow up after referral as appropriate:

• Retirement Survival Disability Income (RSDI)

Refer applicants/beneficiaries who are potentially eligible to SSA.

• Veterans Administration (VA) Aid and Attendance Benefits

Refer all veterans, veterans' widows, and eligible parents of veterans to the Parish Office of Veterans Affairs for possible benefits when HCBS services begin or upon entry into an LTC facility.