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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services C-705 Medical Assistance Manual GENERAL ELIGIBILITY REQUIREMENTS 23 Dec 22 MTL 07/23 EFFECTIVE DATES FOR BUY-IN C-705 EFFECTIVE DATES FOR BUY-IN The accretion effective date is based on the category of medical assistance which the person is enrolled. The following are the guidelines for Buy-In effective dates: a. QMB: • Part A and Part B buy-in effective the month after the month of approval. b. SLMB: • Part B buy-in effective the application month and up to three months prior to the application month (prior med). c. QI: • Part B buy-in effective the application month and up to three months prior to the application month (prior med). C-720 CASE MANAGER RESPONSIBILITIES IN THE BUY-IN PROCESS The case manager must ensure that when a customer is enrolled in Medicare, the Medicare (MEDI) screen is entered into the system and eligibility is updated to the appropriate AID and Eligibility code combination. The Buy-In file exchange depends upon the correct AID/ELIG code in order to generate an accretion request for Buy-In. When an individual is no longer reflecting Medicare eligibility, the case manager must add END DT (end dates) to Part A and Part B in the MEDI screen and update eligibility to reflect loss of Medicare. All Buy-In inquiries or requests for assistance should be sent to: buyin@dhcfp.nv.gov. C-800 INCARCERATION An inmate of a public institution is ineligible for the Medicare Beneficiary program, UNLESS the institution is a medical institution. An inmate of a penal institution is never eligible for Medicaid or the Medicare Beneficiary Program while in the custody of law enforcement officials, UNLESS admitted as an inpatient to a hospital, nursing facility, juvenile psychiatric facility, or intermediate care facility. This individual is eligible for Medicaid and any Medicaid covered services provided to them while an inpatient in these facilities. If this individual becomes an inpatient of a long-term care facility, they must meet level of care and plan of care assessments to become eligible. Note: Inmates under house arrest, and supervised by Parole and Probation, may qualify for Medicaid as long as the penal institution is not supplying their food and shelter. Persons who are released on parole from a penal institution are not considered a resident of a public institution and therefore may be eligible for SSI or Medicaid if they meet all other eligibility requirements.