Page 42

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued August 11, 2025

Page 42 of I-1530 Replacing February 17, 2025

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

Benefit Rate (FBR) for all waivers).

For HCBS beneficiary liability determinations, deduct an allowance equal to three times the SSI FBR.

Refer to Z-700 LTC/HCBS SIL Rate, Resource Limits and Personal Care Needs Allowance.

Earned Income Exemption (EIE)

Deduct $65 and one-half of the remainder from gross earned income for each individual or couple.

This deduction applies to:

• All programs except LTC in the eligibility determination, and

• LTC patient liability determinations, if the employment is part of the approved plan of care. Refer to Sick Pay.

Note: Many ICF/IID beneficiaries engage in wage earning activity as a part of their plan of care and are eligible for the SSI earned income deductions ($65 and one half of the remainder) in the patient liability determination only.

Beneficiaries of ICF I and II services whose physician plan of care prescribes a wage earning activity as a therapeutic or rehabilitative measure shall be eligible for the SSI earned income deductions ($65 and one half of the remainder) in the patient liability determination only.

Garnishments

Unearned income includes amounts withheld from unearned income because of a garnishment or to make certain other payments (such as payment of Medicare premiums).

Health Insurance Premiums, Deductibles, Co-insurance Charges and Copayments

This deduction applies to:

• MNP eligibility determinations, and