Page 22

Louisiana Medicaid Eligibility Manual Eligibility Factors

Reissued October 21, 2025 Page 22 of I-1670 Replacing January 27, 2025 Revised/added text indicated by underscore Deleted text indicated by “**”

When transferred assets are returned to a beneficiary, use the average monthly private pay rate divisor that was in place at the time that the transfer penalty was assessed when recalculating the penalty period.

I-1676.2 Reserved

I-1676.3 Transfers made on or after February 8, 2006

The look-back period begins with the look-back date and ends with the baseline date, which is the 60 months (five years) prior to applying for Medicaid. Explore uncompensated transfers occurring during the 60- month period before application for institutional coverage, and anytime thereafter.

Impose a partial month penalty period for transfers that are less than the States average monthly cost for private patients of a nursing facility. If a transfer results in a partial month penalty, the penalty must be served.

When transfers occurred in more than one month, multiple transfers may be combined to impose a single penalty period.

Look-Back Date

Penalties may be assessed for transfers that take place on or after the look-back date. The look-back period is the period that begins with the look-back date and ends with the baseline date. The baseline date is the first date as of which the individual is:

• Institutionalized; or

• Otherwise eligible for HCBS waiver based on an approved BHSF 142; and

• Found to meet all financial and non-financial criteria based on an application for medical assistance under the state plan.

Penalty Period Begin Date

For transfers that occurred on or before the effective date of