Application Center Handbook - Louisiana Department of Health and ...

Medicaid Program Application Center Handbook
may be eligible.
5. Pickle - Protects Medicaid coverage for two different groups of the aged, blind,
or disabled persons who became ineligible for SSI or MSS as the result of a cost
of living increase in RSDI benefits or any other income reason.
FAMILY OPPORTUNITY ACT (FOA) Buy-In Provides coverage for children with
disabilities up to age 19 with family gross income at or below 300% of the Federal
Poverty Level.
FAMILY PLANNING WAIVER (TAKE CHARGE): Provides coverage for family
planning related services such as birth control, counseling, exams, and tests, for nonpregnant
women between ages 19-44.
HOME & COMMUNITY BASED SERVICES WAIVER (CCW, NOW, ROW, ADHC,
PCA, EDAW): Provides coverage for individuals who would otherwise require services
in an institution.
LONG TERM CARE NURSING FACILITY (LTC): Individuals may be eligible for
Medicaid services in the LTC program if they are a resident of a Title XIX certified
nursing facility, a certified Medicare Skilled Nursing Facility/ Medicaid Nursing Facility,
including a swing-bed facility or a Title XIX certified Intermediate Care Facility/Mentally
Retarded Facility and meet all eligibility requirements.
LOUISIANA CHILDREN’S CHOICE: Disabled children under the age of 19 on the DD
waiver waiting list who currently live at home with their families or who will leave an
institutional setting to return home may be eligible to participate in the Children’s Choice
Waiver and receive supplemental support services as an alternative to Long Term Care
institutionalization.
LOUISIANA CHILDREN’S HEALTH INSURANCE PROGRAM (LaCHIP): A Medicaid
program with higher income limits and fewer verification requirements than other
Medicaid programs for uninsured children from birth to age 19.
LaCHIP PHASE IV: Provides coverage for certain pregnant women who are not
otherwise eligible for Medicaid. Non-citizen pregnant women may qualify for this
program, regardless of their immigration status.
LaCHIP Phase V (AFFORDABLE PLAN): This program provides coverage to children
up to age 19 who are uninsured children with family income too high to qualify for
regular LaChip.
LOW INCOME FAMILIES WITH CHILDREN PROGRAM (LIFC): Medicaid coverage
for families with children who meet certain income and eligibility requirements as
determined by AFDC policy effective July 16, 1996.
MEDICALLY NEEDY PROGRAM (MNP): Provides Medicaid coverage when income
Revised April, 2013 9