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Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued October 21, 2025 Page 21 of I-1670 Replacing January 27, 2025 Revised/added text indicated by underscore Deleted text indicated by “**” date of transfer. • By an appraisal that is dated less than one year from the date of the transfer. • Obtain a FMV estimate from a knowledgeable third party if the real property did not sell on the open market (e.g., to a relative or act of donation). Note: If the property was sold on the open market, this difference between the asking price and the sale price is not uncompensated value.

I-1676 EFFECT OF UNCOMPENSATED VALUE ON ELIGIBILITY

(Determining the Penalty)

There is no penalty for individuals other than LTC/HCBS applicants/beneficiaries who transfer countable assets or home property for less than FMV.

The uncompensated value of an asset which was transferred for the purpose of establishing Medicaid eligibility (individual did not rebut presumption or rebuttal was unsuccessful) will be used to restrict Medicaid coverage to an otherwise eligible institutionalized individual.

I-1676.1 Average Monthly Private Pay Rate for Nursing Facility Services

For applications received on or after November 1, 2007, the average monthly projected rate used as the divisor in determining a transfer of assets penalty period is $4,000.00 ($131.51 per day).

For applications received on or after March 1, 2018, the average monthly private pay rate used as the divisor in determining a transfer of assets penalty period is $5,000.00 ($164.38 per day).

For applications received on or after January 1, 2024 the average monthly private pay rate used as the divisor in determining a transfer of assets penalty period is $6,500.00 ($213.70 per day).

For applications received on or after September 1, 2024 the average monthly private pay rate used as the divisor in determining a transfer of assets penalty period is $7,200.00 ($236.71 per day).