Page 9

MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Form NMO-6160-E, Medicaid Estate Recovery Notification of Program Operation, must be given to all applicants for Medicaid assistance at the time of application for services and redetermination. Be sure the applicant receives the form in English or Spanish, whichever is appropriate. One copy of the form will be given to the applicant and one copy will be filed in DIS. NOTE: Medicare Savings Program (MSP) applicants were excluded from MER effective January 1, 2010. A-145 REFERRAL OF CASES TO MER UNIT When a MER-applicable recipient is no longer Medicaid eligible due to death, the case manager MUST forward the case file to the Division of Health Care Financing and Policy (DHCFP) by taking the following actions: 1. If the case is virtual-only (AMPS), immediately notify MER via email at MER@dhcfp.nv.govThe email must contain the recipient’s name, Medicaid billing number, and SSN or UPI. 2. If there is a physical case file, the case manager MUST forward the file to DHCFP via interoffice mail, Attention: MER, within three (3) working days after the closure of the Medicaid CASE. NOTE: DHCFP also has access to view records in DIS. Therefore, only those records currently maintained outside of DIS by specialized units will need to be forwarded to the MER unit. If the return of a paper case file is necessary, eligibility staff must request in writing the return of the case file. The written request must include the name and SSN of the recipient, the date of the request, the eligibility staff member requesting the file, and the district office where the file should be sent. The request may be faxed or forwarded to DHCFP, Attention; MER utilizing interoffice mail. MER staff will provide the case file within three (3) working days. Case files for Medicaid applicants who have been denied Medicaid eligibility and who do not have a history of prior approval should not be forwarded to the MER unit at DHCFP. A-145.1 INITIATION OF MER ACTIVITIES Upon receipt of the closed Medicaid eligibility casefile, DHCFP MER personnel will establish a MER recovery case. MER staff will validate the recipient's reported resource information. A-140.4 Division of Welfare and Supportive Services MEDICAL ASSISTANCE OVERVIEW Medical Assistance Manual NOTIFICATION TO AFFECTED INDIVIDUALS – 24 Sept MTL 07/24 NOTIFICATION OF MER ACTIVITIES