Page 5

Louisiana Medicaid Eligibility Manual Eligibility Factors

Issued January 7, 2026 Page 5 of I-1550 Replacing November 13, 2025

Revised/added text indicated by underscore Deleted text indicated by “**” step-siblings) who live in the home;  The individual’s legal spouse who lives in the home; and  The individual’s children under age 19 (natural, adopted, and step-children) who live in the home.

See Examples A and F.

Example A: Mimi lives with her child, Mikey, and her boyfriend, Dan, who is the father of Mikey. Dan works and claims Mimi and Mikey on his tax return. Mikey already receives Medicaid. Mimi is the only person applying for coverage since Dan is not requesting coverage for himself.

Mimi meets the MAGI household exception of being claimed as a tax dependent by a tax filer other than a parent or spouse since she will be claimed by Dan (someone other than a married spouse) on his tax return.

The MAGI household for Mimi is determined by using non-filer rules, and consists of herself and Mikey.

Example B: Mary is the tax filer and the grandparent of Joey, age 11, who she claims as a tax dependent.

Since Mary is a tax filer, Mary’s MAGI household consists of herself and her grandson, Joey.

Joey is a tax dependent and meets an exception because he is being claimed as a tax dependent by a tax filer other than a parent or spouse. His MAGI household is determined using non-filer rules, and consists of himself only.