Page 41

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued August 11, 2025

Page 41 of I-1530 Replacing February 17, 2025

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

HCBS Spend-down MNP Eligibility Determination (Community Choices, Adult Day Health Care, Supports, ROW and NOW only)

1. Standard SSI Deduction 2. Earned Income Deduction 3. Remainder, if any, of the standard deduction 4. MNIES 5. Allowable Medical Bills

HCBS Spend-down MNP Patient Liability (Community Choices, Adult Day Health Care, Supports, ROW and NOW)

1. Earned Income Deduction

2. Basic Needs Allowance

3. Maintenance Needs of Community Spouse 4. Maintenance Needs of Family a. Legal Dependents Living with a Community Spouse b. Legal Dependents with no Community Spouse 5. Allowable Health Insurance Premiums, Deductibles, Co- Insurance Charges and Copayments 6. Allowable Medical Bills

Allowable Medical Bills

This deduction applies to MNP Spend-down, LTC SD MNP, Community Choices SD MNP, Adult Day Health Care SD MNP, Row SD MNP, Supports SD MNP and NOW SD MNP eligibility determinations.

Deductions for medical expenses may be allowed in LTC, LTC SD MNP, Community Choices SD MNP, Adult Day Health Care SD MNP, Row SD MNP, Supports SD MNP and NOW SD MNP post eligibility patient liability determinations.

• Incurred expenses have to be dated no earlier than three months preceding the month of application.

• For any changes, only account for expenses in the last three (3) months prior to report date, with carryover if necessary.

Basic Needs Allowance

See H-910.4 Beneficiary Liability (needs allowance is 3 x Federal