Page 47

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued August 11, 2025

Page 47 of I-1530 Replacing February 17, 2025

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

community property laws. A spouse has:

• Full ownership of income paid in his/her name,

• Half ownership of income paid in the names of both spouses, and

• Pro rata ownership of income paid in the names of either one or both spouses and another individual.

I-1537.3 Maintenance Needs

Spouse’s Maintenance Needs

Determine the Spousal/Child/Family Member Needs amount for an applicant/beneficiary with a community spouse as follows:

• Total gross income (including VA Aid and Attendance) of the applicant/beneficiary less earned income deductions, if applicable.

• Total spouse's gross income including any countable interest earned from allowable resources.

- Subtract spouse's income from the Spouse's Maintenance Needs Standard. Refer to Z-800 Spousal Impoverishment Maintenance Needs and Resource Standards. The remainder, if any, is the spouse's maintenance needs allowance limit.

Do not allocate more than the Maintenance Needs Allowance limit. Refer to Table Z-800 Spousal Impoverishment Maintenance Needs and Resource Standards

Dependent’s Maintenance Needs

• For each legal dependent living with a community spouse:

- Total the dependent’s gross income including any countable interest paid on allowable resources.

- Subtract this income from the dependent's Maintenance