Page 10

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued January 7, 2026 Page 10 of I-1550 Replacing November 13, 2025

Revised/added text indicated by underscore Deleted text indicated by “**” o If greater than or equal to $80,000 but less than $90,000, count in equal installments in the month in which it is received, and in the following month. o If greater than or equal to $90,000 but less than $100,000, count in equal installments in the month in which it is received, and in the following two (2) months. If greater than or equal to $100,000, count in equal installments in the month in which it is received, and in the following two (2) months. Add an additional month for each increment of $10,000, not to exceed 120 months for amounts of $1,260,000 or more,

Note: The requirement to count qualified lottery and gambling winnings in household income over multiple months applies only to the individual who receives the winnings. After the month of receipt, do not count these winnings as income for the other household members.

Example: In May, Steve wins $85,000 while gambling at the casino.

Steve’s MAGI household consists of Mike (tax filer), Cindy, his spouse (joint tax filer), and their tax dependents Mikey and Joey. Based on the rules above, divide the total winnings over two months and count $42,500 as income for May for the entire household, and count $42,500 as income for June for Steve only.

Lottery/Gambling Winnings - Hardship Exception An individual in receipt of lottery or gambling winnings in excess of the applicable income limits shall continue to be eligible if it is determined that the denial of eligibility of the individual would cause an undue medical or financial hardship.

Results Of Findings

If undue hardship is determined to exist and an exception granted, the lottery/gamblings winnings shall not be considered in the eligibility process.