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Learn About Requirements for Medicaid in Louisiana

If you are wondering, “What are the requirements for Medicaid in Louisiana?” then you should know that Medicaid eligibility is determined by a number of factors. Medicaid eligibility requirements include covered groups, residency, citizenship and income limits. Familiarizing yourself with who is eligible for Medicaid in Louisiana can help you to determine whether you may be able to receive benefits. Understanding Medicaid benefits eligibility can save you both time and hassle on Medicaid applications. For more information on how to qualify for Medicaid in Louisiana, review the sections that have been provided below.

Who meets the requirements for Medicaid in Louisiana?

If you are asking, “What are the Medicaid application guidelines in Louisiana?” then it is recommended that you familiarize yourself with covered groups. Covered Medicaid benefits eligibility groups are determined by the state of Louisiana and include the following:

  • Children who are younger than 19 years of age
  • Pregnant women
  • Senior citizens who have a low income and receive Medicare coverage
  • Low-income adults who have a child or other dependent within the home who is younger than 19 years of age
  • Disabled individuals

Louisiana Medicaid benefits eligibility for individuals with disabilities requires applicants to meet the Social Security Administration’s definition of a disability. Disabled applicants who are eligible for Medicaid are also eligible for or receiving Supplemental Security Income (SSI) from the Social Security Administration (SSA). Individuals who have a corrected vision that is not better than 20/200 will also be considered disabled for Medicaid eligibility purposes during the Louisiana application process.

In order to qualify for Medicaid, a senior citizen must be at least 65 years of age and receive (or be eligible for) Medicare health insurance coverage. A senior citizen who is eligible for Medicaid and Medicare is considered “dually eligible” and will receive additional benefits on top of general Medicaid coverage, including potential financial assistance towards Medicare copayments, deductibles, premiums and co-insurance.

Pregnant women are eligible for Medicaid if they meet the basic qualifications and meet the income requirements. Learn more about the qualified groups who can enroll in the program by downloading our comprehensive Medicaid guide here.

Learn About Louisiana Medicaid Requirements Regarding Citizenship and Residency

If you are wondering, “What are the Medicaid application guidelines in Louisiana?” then you should know that the first eligibility factors that are examined are citizenship and residency. In order to be considered eligible for Medicaid, you must either be a United States citizen or a qualifying non-citizen. Whether or not you qualify as a non-citizen will depend on your immigration status. In some cases, non-citizens are not eligible to receive Medicaid assistance in Louisiana until they have been in the United States for a minimum of five years.

Louisiana Medicaid eligibility requirements also dictate that applicants must reside within the state, even if they live on the border. Residency is determined by the applicant’s residential address and information on Medicaid applications, even if they work within another state. If you are not a resident of Louisiana, then you will not be eligible for the state’s Medicaid program.

What are the income requirements for Medicaid in Louisiana?

The requirements for Medicaid in Louisiana are also heavily determined by income. The Louisiana Medicaid health insurance program is designed to provide health insurance to the neediest individuals and families throughout the state who may not otherwise be able to afford adequate health insurance coverage. As such, when determining who is eligible for Medicaid, it is important to know that you will only be eligible for Medicaid if you have a low or very low household income. It is also worth knowing that children and pregnant women have higher income limits than any other covered group in Louisiana.

You will likely meet Medicaid eligibility requirements if you and your household already receive assistance from the Office of Family Support (OFS) through the Family Independence Temporary Assistance Program (FITAP). If you do not currently receive assistance, then you may still be eligible for benefits. Medicaid benefits eligibility that is related to income is determined by the number of people within a family or household and annual estimated income for the household. Likewise, your income will influence your Medicaid coverage costs in Louisiana.

It is also important to know that if you are part of a household that has children and dependents who are younger than 19 years of age but your household does not meet Medicaid eligibility requirements based upon income levels, the children and dependents of the household may still be eligible for the Children’s Health Insurance Program (CHIP). CHIP is a division of Medicaid that provides health insurance coverage to children who would not otherwise be eligible for Medicaid. However, most families will need to pay a small monthly premium for CHIP. Download our Medicaid guide for more details about CHIP and Medicaid.

Who does not meet Louisiana Medicaid requirements?

Now that you better understand how to qualify for Medicaid, it is important to familiarize yourself with the individuals who are not eligible for Medicaid. Adults who are between 19 and 54 years of age, do not have a disability and do not have dependent children within the home do not meet the Medicaid eligibility requirement for Medicaid health insurance within the state of Louisiana. They are considered “abled-body adults” and while some states do provide Medicaid health insurance benefits to able-body adults that are working, the state of Louisiana does not currently provide benefits to such individuals.

This Louisiana Medicaid eligibility requirement does have some exceptions. Women who are pregnant may be eligible to receive Medicaid health insurance even if they do not currently have a dependent child, so long as all other Medicaid eligibility requirements are met. Medicaid benefits may, in some cases, also be available to low-income adults in this age group who suffer from certain afflictions. Individuals who suffer from breast or cervical cancer, have no other insurance provider and meet citizenship, residency and income requirements may be eligible to receive Louisiana Medicaid health insurance benefits.