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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL C-605.1 Division of Welfare and Supportive Services GENERAL ELIGIBILITY REQUIREMENTS Medical Assistance Manual PERSONS ELIGIBLE FOR MEDICARE 23 Dec 22 MTL 07/23 C-605.1 Persons Eligible for Medicare  all persons OVER AGE 65 who are either a U.S. citizen; or an alien lawfully admitted for permanent residency who has resided in the U.S. continuously for 5 years.  all persons UNDER AGE 65 who have received monthly Social Security/Railroad Retirement disability benefits for 24 months.  persons with End-Stage renal disease. A Medicaid applicant or recipient must cooperate in pursuing Medicare Part B, if available, as a condition of continuing eligibility, since it would be available at no cost as a result of the state Buy-In process, if eligible. When a Medicaid eligible customer with an open Medicaid case becomes eligible to enroll in Medicare the Division of Healthcare Financing and Policy (DHCFP) will send the customer a letter requesting the customer to apply for Medicare Part B. DHCFP will track enrollment and report non-cooperation to DWSS for termination from Medicaid allowing for adverse notice. When an ongoing full Medicaid recipient is already enrolled in Medicare Part A, do not send them to Social Security to apply for Part B. Add the MEDI screen and post eligibility current and ongoing, then send an email to the DHCFP Buy-In Lead asking for a manual accretion of Part B. The manual accretion will allow enrollment into Part B at no cost to the recipient from their first month of eligibility. If a customer already has other health coverage, Nevada Medicaid is not liable for health care services if the customer elects to seek treatment from a provider not authorized by their health care coverage. C-610 NOTIFICATION OF THIRD PARTY LIABILITY (TPL) TO THE FISCAL AGENT The fiscal agent is notified of current TPL and changes to such coverage through the MINS and MEDI screen. Complete or update these screens when the following occurs:  notification is provided of all verified insurance or changes in coverage.  if there is enough verification or information for the insurance to be pursued but coverage cannot be verified, refer the information to the fiscal agent. Exception: When a non-custodial parent is providing medical coverage for their dependents, provide the information to Child Support Enforcement (CSE) on the Non- Custodial Parent Form 2906.