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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Prior medical assistance may be provided even if:  The household is not currently eligible for Medicaid; or  The person who received the medical care or services is deceased. Do not delay an ongoing eligibility decision while obtaining information to determine prior medical eligibility. In addition, if the household is only requesting prior coverage, provide an ongoing eligibility decision at the time of the application. If the individual is aged, blind or disabled and an SSI recipient determine if they would have been eligible for SSI had the Social Security Administration made a determination. This category of eligibility is used only after all other eligibility categories have been considered. Do not make an independent SSI determination if there is a pending SSI application covering the month(s) Medicaid is requested. Use the Social Security Administration's SSI disability decision (the disability onset date) for any month of requested prior medical assistance. All other factors of eligibility, e.g., residency, citizenship, income, resources, etc., must be evaluated by the case manager. Prior medical determinations must be made within 45 days from the application date for all categories except for disabled applicants which are given 90 days for processing. Exceptions: Nevada Check Up (NCU) applicants are eligible beginning the next administrative month after approval. Because these decisions are prospective, they are not eligible for prior medical coverage. Qualified Medicare Beneficiary (QMB) applicants are eligible beginning the month immediately following the month the decision is made. Because these decisions are prospective, they are not eligible for prior medical coverage. A-115.2 Verification of Prior Medical Assistance The following are required for approval of prior medical assistance:  Prior medical assistance must be requested; AND,  Actual income (i.e.: paper or electronic documents, or telephone call to employer) for the prior medical month(s) being requested must be used; AND  Citizenship documentation must be received prior to approval of prior medical months unless the eligibility evaluation is for the emergency medical services group. A-115.1 Division of Welfare and Supportive Services MEDICAL ASSISTANCE OVERVIEW Medical Assistance Manual APPLYING FOR PRIOR MEDICAL COVERAGE – 24 Sept MTL 07/24 VERIFICATION OF PRIOR MEDICAL ASSISTANCE