Page 4
MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services Medical Assistance Manual 24 Jan 26 MTL 02/24 C-110 GENERAL ELIGIBILITY REQUIREMENTS DISPUTED RESIDENCY f. Victims of Domestic Violence approved for fictitious address receive a notice from the Division of Child and Family Services which contain an individual authorization code and substitute mailing address. Request and keep a copy of this notice in the case file for verification. Request the customer to provide a statement from the Division of Child and Family Services to verify a pending CAP application. Persons pending a determination for CAP may use an alternative address (i.e., friend, relative, or shelter address). g. award letter for Social Security h. employer's statement i. statement from a friend, relative or other person who is knowledgeable about the customer's residency j. State Data Exchange (SDX). k. SSA State Online Query (SOLQ) C-115 TEMPORARY ABSENCE Medical may not be denied or terminated because of an individual’s temporary absence from State. Nevada residency continues when a customer is temporarily absent IF he/she intends to return to Nevada when the purpose of the absence has been accomplished. Children attending school out of State who have not indicated their intent to return to Nevada and/or who have been approved for Medicaid in another state, do not meet Nevada residency rules. Document in the case file the temporary absence situation and obtain the customer/representative's statement concerning the intent of residency and the purpose of the absence. C-120 CAP PROGRAM (NRS 217) The confidential Address Program (CAP) is administered by the Division of Child and Family Services and helps victims of domestic violence, sexual assault, human trafficking and/or stalking from being located by the perpetrator through public records. CAP provides a fictitious address and confidential mail forwarding services to individuals and families across Nevada. When an individual is approved for the program, they are given a notice which contains the individual’s CAP Authorization Code and the fictitious address. The CAP authorization Code ensures mail is delivered correctly and confidentially without further delay. The following are the requirements for DWSS cases with individuals enrolled in the Confidential Address Program.