Page 48

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued August 11, 2025

Page 48 of I-1530 Replacing February 17, 2025

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

Needs Standard. Refer to Z-800 Spousal Impoverishment Maintenance Needs and Resource Standards.

- Divide the remainder by three. The remaining amount, if any, is the dependent’s maintenance needs allowance. Do not allocate more than one-third of the Dependent’s Need Standard for each dependent.

• For each legal dependent not living with a Community spouse:

- Total all dependent’s income, including any countable interest paid on allowable resources.

- Subtract this income from the MNIES for the number of dependents. Refer to Z-300 Medically Needy Income Eligibility Standards (MNIES). The remainder, if any, is the maintenance needs.

I-1537.4 Verification

Obtain verification that:

• The couple is legally married,

• The dependents who are allowed the Maintenance Needs Allowance are legal dependents, • The applicant/beneficiary agrees to make the income available to the spouse/dependent, and

• The spouse/dependent is willing to accept the income.

I-1537.5 Documentation

Document and file copies of the verification.

I-1538 Patient Liability (PLI)

PLI is the amount the applicant/beneficiary must pay towards their monthly cost of care. It is based on the amount of monthly income