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Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued January 7, 2026 Page 2 of I-1550 Replacing November 13, 2025

Revised/added text indicated by underscore Deleted text indicated by “**” I-1552 MAGI HOUSEHOLD Construct a MAGI household for each individual for whom coverage is being requested. An individual’s household may or may not include everyone listed on the application/renewal form.

The MAGI household depends upon whether an individual is:  A tax filer;  Married living with a spouse;  A tax dependent; or  A non-filer (neither a tax filer nor a tax dependent).

MAGI HOUSEHOLD—TAX FILER RULES Tax filer rules are applied when the individual expects to:  File taxes; or  Be claimed as a tax dependent.

Note: Spouses who are separated and not living together are not included in each other’s MAGI households, even when expected to file jointly.

MAGI HOUSEHOLD FOR TAX FILERS For the tax filer, the MAGI household consists of the following:  The tax filer  The spouse of the tax filer; and  All claimed tax dependents. Including tax dependents not living with the tax filer. See Example E.

When determining the MAGI household for a pregnant woman, include the child(ren) she is expected to deliver.

Example: Sally is pregnant and applies for Medicaid coverage for herself, her unborn, and her two child-tax dependents, Amy and Arnold:  Sally’s MAGI household is composed of Sally, the unborn, Amy, and Arnold.