Page 12

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued October 21, 2025 Page 12 of I-1670 Replacing January 27, 2025 Revised/added text indicated by underscore Deleted text indicated by “**” year immediately before the date the individual admitted to nursing facility or HCBS waiver program. The applicant will need to provide verification (vehicle registration, mail received, etc.).

• Child who: o Is age 21 or over, o Is not blind or permanently and totally disabled, o Was residing in the home for at least two years immediately before the date the individual admitted to nursing facility or HCBS waiver program, and o Provided care to the individual allowing the individual to reside at home, rather than in an institution or facility.

Note: To qualify for the exception, the applicant must provide:

• A written statement from their physician indicating the applicant’s medical/physical condition during the preceding two years was such that he/she required nursing facility level of care services, and the applicant’s child resided in the home as the primary caregiver;

• Verification the child resided in the home for the entire two-year period (vehicle registration, mail received, etc.) and

• Verification that the individual received care from the child that allowed them to remain in the community rather than in an institution (through supporting documents or a signed statement from a knowledgeable third party).

2. The assets transferred were other than the individual’s home and were transferred:

• To the individual's spouse, or to another for the sole benefit

of the individual's spouse.

• From the individual's spouse to another for the sole benefit of the individual's spouse.