Page 27

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued January 7, 2026 Page 27 of I-1550 Replacing November 13, 2025

Revised/added text indicated by underscore Deleted text indicated by “**” I-1556.1 Application of the Gap-filling Rule

Determine financial eligibility for Medicaid/CHIP using gap-filling when the following conditions apply:

 The current monthly household income is over the applicable income standard; and,

 Projected annual income is below 100% FPL.

Household Composition

The household consists of:  The tax filer;  The tax filer’s spouse if filing jointly; and  All other tax dependents.

Note: Non-filer households and applicants who file federal income tax return married filing separately (with limited exceptions such as for domestic violence) cannot be determined eligible for Medicaid using gap-filling rule.

Household Income Household income includes:  The gross income of every household member required to file a federal income tax return;  Income counted is based on projected annual income for the current calendar year; Example Susan and her husband, Jon, are both enrolled in Medicaid. Jon has been working the full year and earns $1083 per month. Susan did not have income from January through July. On August 5, Susan reports that she started a new job on August 1, earning $1,500 per month. Monthly income test (August): • $1,500 (Susan) + $1083 (Jon) = $2583 monthly household income.