Page 25

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued January 7, 2026 Page 25 of I-1550 Replacing November 13, 2025

Revised/added text indicated by underscore Deleted text indicated by “**” alternate methods such as YTD amounts or averaging may be used.  Non-Fluctuating Income – Base projections on the current rate of pay and regular schedule.  Fluctuating Income – Use YTD information or averaging to determine the most reasonable estimate of ongoing earnings.  YTD Income – YTD income may be used for missing pay periods when it provides a more accurate reflection of ongoing earnings, especially for fluctuating or seasonal income. Identify the time period represented to ensure a reliable average.  Average Income – Average income may be used when income fluctuates. Averages may be based on available pay periods, employer statements, or YTD information.

I-1555 MAGI - FINANCIAL ELIGIBILITY

I-1555.1 Resources

There is no asset or resource test for the MAGI groups.

I-1555.2 MAGI Budget Steps

To determine income eligibility: 1. Determine MAGI household composition for each individual requesting coverage. o Include the number of children expected to be delivered in the income unit when determining eligibility for a pregnant woman. Note: When determining Medicaid eligibility for pregnant women under age 19, all income is disregarded. 2. Determine countable income for each MAGI household. o Combine all countable MAGI-related types of income of each member of the household. Reduce income by MAGI-related taxable deductions for each member of the household.

Note: For a tax filer, the income of a tax dependent is not counted