Page 2

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Reissued March 18, 2025 Replacing March 5, 2024 Page 2 of I-1660 Revised/added text indicated by underscore Deleted text indicated by “”

attributed to the community spouse.

Example: Community spouse’s monthly income is $500 below the spousal maintenance needs. Before the community spouse would be allowed to allocate additional assets to income- producing assets, the institutionalized spouse would have to transfer as much of the $500 from their income as possible to the community spouse.

Referrals for increases in the community spouse’s resource allowance must be sent to State Office Eligibility Policy section for a decision.

When a court order of support exists which stipulates that an amount greater than the Spousal Resource Standard be allocated to the community spouse for his use and maintenance, the court-ordered amount shall be used as the Spousal Resource Standard.

Allocated Resources

The amount of resources that may be transferred from the combined countable couple resources to the community spouse or to another person for the benefit of the community spouse, in order to be disregarded in the determination of continuing eligibility for the institutionalized spouse.

Community Spouse

The LTC/HCBS/ACH institutionalized individual's legal spouse who lives in a non-institutionalized setting. A person receiving HCBS is considered institutionalized for Medicaid purposes.

New Admission

A first time admission or a readmission after an absence of 30 days or more from an LTC/HCBS/ACH institutionalized setting.