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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL C-500 Division of Welfare and Supportive Services GENERAL ELIGIBILITY REQUIREMENTS Medical Assistance Manual APPLYING FOR AVAILABLE BENEFITS 21 Oct 01 MTL 04/21 Exceptions: 1. Persons qualifying under the QMB category do not have to apply for benefits for which they may be eligible. 2. Nevada Check Up only households do not have to apply for benefits for which they may be eligible, unless the child may be eligible for SSI. 3. Do not terminate a child’s coverage if the parent, caretaker or relative fails to pursue available benefits for the child. C-505 SSI APPLICATION AND DETERMINATION C-505.1 Required Verification of Supplemental Security Income (SSI) application or receipt of SSI as a Nevada Resident must be obtained for applicants meeting the criteria below. Allow applicants 20 calendar days to provide this proof if it is not available electronically. Failure to provide proof of SSI application or receipt of SSI within the specified time will cause denial. Failure to pursue an SSI claim or failure to provide information essential to establish the claim will result in denial or termination of assistance including all prior medical requests associated with the application. C-505.1.1 Aged, Blind and Disabled Persons Not In an Institution with Total Countable Income Less than SSI Payment Levels Medicaid under the MAABD program will NOT be approved until the applicant is approved for SSI by SSA. This includes individuals who have temporary residency status. If the applicant may be eligible under another program, such as expanded Medicaid, gather the correct information/forms needed and process the case (see MAM D-340.3) C-505.1.2 Persons In an Institution with Total Countable Income Less Than $30 Evaluate the individual for eligibility in other Medicaid categories while the SSI determination is pending. This includes individuals who have temporary residency status. (See State Institutional Category for possible eligibility if SSI is denied.) Exception: Children receiving Medicaid under 1902(e)(3) (Katie Beckett) of the Social Security Act who enter an institution for long-term care, including an RTC. An SSI application must be made; however, there will be no break in Medicaid eligibility pending a decision from SSI.