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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL States are required to coordinate eligibility across the different insurance affordability programs. The health reform law established new definitions of income – called Modified Adjusted Gross Income (MAGI) that is used in determining eligibility for advanced premium tax credits (APTC), Family Medical assistance and Nevada Check Up (NCU). Medical Assistance to the Aged, Blind and Disabled (MAABD) groups are exempt from the MAGI budgeting rules. Individuals applying online will be evaluated for APTC, Medicaid and NCU and the electronic application will be referred to the appropriate agency based on the application information. Individuals determined ineligible due to excess income will be referred to the exchange for an APTC eligibility determination. Medicaid and NCU eligibility determinations will be made using MAGI budgeting methodology to determine family size and household income. MAABD eligibility determinations use SSI budgeting methodology to determine family size and household income. A–110 COOPERATION All applicants and/or their authorized representative are required to furnish information and/or documentation necessary to establish initial and continuing eligibility in order to receive medical assistance. If a caregiver or household fails or refuses to cooperate with the Division of Welfare and Supportive Services (DWSS) district office, quality control, Investigations and Recovery or other designated DWSS officials in providing information which would impact pending or ongoing eligibility/benefits, the case will be denied or terminated. In a noncooperation situation resulting in termination, allow applicable adverse action and provide legal notification. A-115 PRIOR MEDICAL (435.915) Prior medical assistance is available for up to three months prior to the application month. If the individual is requesting the coverage for prior months they must meet all eligibility requirements for that month. A-115.1 Applying for Prior Medical Coverage A request for prior medical assistance is considered a separate application because it is for months predating the initial application. Prior medical requests may be added during the pending period and during the 12-month period after approval, provided the case remains open. Approval, denial or pending of a prior medical request must always be addressed in a notice of decision to the household. Division of Welfare and Supportive Services A-105 Medical Assistance Manual MEDICAL ASSISTANCE OVERVIEW 24 Sept MTL 07/24 MEDICAL ASSISTANCE OVERVIEW – APPLYING FOR PRIOR MEDICAL COVERAGE