1. A. The Medicaid Purchase Plan provides Medicaid coverage to individuals who meet the following criteria:

   1. 1. have earned income;
   2. 2. are at least 16, but not yet 65 years of age;
   3. 3. meet the Supplemental Security Income’s definition of disability, except for earnings;
   4. 4. have countable income less than or equal to 200 percent of the federal poverty level (FPL);
   5. 5. have countable resources less than or equal to $25,000; and
   6. 6. pay a monthly premium, if applicable.
2. B. Premium Payment. Eligible individuals with countable income less than or equal to 150 percent of the FPL are not required to pay a premium. Eligible individuals with countable income greater than 150 percent of the FPL are required to pay a premium of $131 per month.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 39:3299 (December 2013), amended by the Department of Health, Bureau of Health Services Financing, LR 51:668 (May 2025).