Page 7
Louisiana Medicaid Eligibility Manual Eligibility Factors
Issued May 16, 2022
Page 7 of H-1620 Revised/added text indicated by underscore
Deleted text indicated by “**”
the $2,000 SSI Individual resource limit leaves $48,000 that must be transferred to Mrs. Jones prior to the first renewal.
I-1630 TREATMENT OF RESOURCES AT RENEWAL
If the policy benefits were not exhausted at application, the applicant/beneficiary may continue to receive LTCP benefits and would be entitled to an additional resource disregard and protection equal to the amount of benefits paid out since the last eligibility determination.
The difference between the total value of all verified resources minus the verified benefit amount paid out to date (the available disregard) by the LTCP policy is the beneficiary’s countable resources.
A Special Needs Trust or an annuity which names the State of Louisiana, Louisiana Department of Health as the residual beneficiary of funds remaining, cannot be protected under the LTCP Program due to federal law and must be available after death of the applicant to reimburse Medicaid for the benefits paid on behalf of the applicant.
I-1632 CASE RECORD DOCUMENTATION
Document all information verified and any documentation received in the case record.
I-1632 TREATMENT OF ONGOING INSURANCE PAYMENTS Income
LTCP policy benefits paid directly to the beneficiary while a beneficiary is receiving Medicaid payment of LTC services under this policy will be considered unearned income and will be budgeted in the month of receipt.
Third Party Liability