Page 39

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued August 11, 2025

Page 39 of I-1530 Replacing February 17, 2025

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

Count the gross amount as unearned income.

Refer to Lump Sum Payments

WORKERS’ COMPENSATION MEDICARE SET-ASIDE ARRANGEMENT (WCMSA)

Count any interest earned on unspent portions as unearned income in the month of receipt and as a resource the following month.

I-1535 NEED – SSI-RELATED - TREATMENT OF INCOME

I-1536 DEDUCTIONS

Medicaid deductions are determined:

• By the program,

• By the type of income, and

• According to whether the budget is the eligibility determination or the LTC patient liability determination.

The specific order that must be used in allowing these deductions is indicated below, followed by an alphabetical list of deductions and an explanation of each.

Extended Medicaid, Retroactive Medicaid for SSI Applicants, and Medicare Savings

1. Standard SSI Deduction 2. Earned Income Deduction 3. Remainder, if any, of the Standard SSI Deduction

MNP Spend-down

1. Standard SSI Deduction 2. Earned Income Deduction 3. Remainder, if any, of the Standard SSI Deduction 4. Health Insurance Premiums 5. Allowable Medical Bills