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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD B-300 MAABD MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 25 Mar MTL 02/25 OVERVIEW MAABD MEDICAL CATEGORIES B-300 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, who 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 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. B-305 AGED BLIND AND DISABLED Medicaid eligibility under the Aged, Blind and Disabled groups are determined using Social Security Income (SSI) budget methodologies and are exempt from the MAGI methodology. SSI budgeting methodologies include a resource determination. Individuals 65 years of age or older, blind or disabled, should be evaluated for eligibility under the MAABD groups.