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Division of Welfare and Supportive Services B-200 Medical Assistance Manual SPECIALIZED MEDICAL CATEGORIES 13 Oct 01 MTL 01/13 OVERVIEW SPECIALIZED MEDICAL CATEGORIES B-200 OVERVIEW Eligibility for medical assistance is categorized in groups based on budgeting methodologies associated to the eligibility determination. Family Medical groups - cover individuals, families and children in Nevada Check Up using the MAGI budget methodologies. These groups have no resource test. Specialized Medical groups - cover individuals in specialized groups such as Aged Out, Rite of Passage and Breast and Cervical and allows for exemptions from income and resource determinations. MAABD groups - cover aged, blind and disabled individuals using SSI budgeting methodologies. These groups have a resource test. Individuals requesting medical assistance must be evaluated under all potential medical groups including Nevada Check Up prior to being referred to the exchange. Individuals determined ineligible due to excess income will be referred to the Nevada Health Link to apply for advanced premium tax credits and shop for insurance. LPRs, which are ineligible because they are serving the 5 year bar, may be eligible to purchase insurance through the exchange and receive advance premium tax credit. If an applicant is pending an SSI decision, evaluate eligibility for all Medicaid categories, including the new childless adult group, until a decision is made by SSA. If the individual is determined to be eligible in another category:  approve eligibility in the appropriate month; and  deny the MAABD pending SSI case effective the same month of approval; and  keep SSI pending for months which are not covered by another category, until an SSI decision is received. A new application is not required to move between a MAGI group and non-MAGI groups. Additional information may be required to process the conversion. See Conversions section in D-500 for more information.