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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL • The Division determines that eligibility was erroneously granted at the most recent determination or renewal of eligibility because of the Division’s error or fraud, abuse, or perjury attributed to the child or the child’s representative; • The child dies; • The child becomes eligible for Medicaid; or • Failure to pay premiums. Note: If a child in a continuous eligibility period no longer has a satisfactory immigration status, Medicaid benefits will be limited to emergency medical coverage for the remainder of the continuous eligibility period. When a household has members eligible under NCU and Medicaid, the 12-month certification period is effective the month of approval. D-160.2 Newborns (AKA OBRA) OBRA eligibility is approved for 12 months from the child’s DOB if their mother was receiving Medicaid in the same month of the child’s birth. These children are entitled to 12 months continuous eligibility, as long as they remain a Nevada resident (see MAM B-120.1 Deemed Newborn Children). When approving OBRA coverage, staff need to manually change the redetermination (RD) date to the month the child turns age one (1). D-160.3 Transitional Medicaid Transitional Medicaid eligibility is approved for 12 months continuous eligibility, as long as they continue to meet eligibility criteria as indicated in MAM B-130 Transitional Medicaid Coverage. When approving Transitional Medicaid coverage, staff need to manually change the RD date to 12 months from the date the case rolls to Transitional Medicaid. D-165 NEVADA CHECK UP PREMIUMS Families with children enrolled in NCU are charged a quarterly premium based on the family’s monthly taxable income. Premiums are charged per family, not per child. NCU premium payments must be paid using a check, money order, Visa, Mastercard or Discover Card. Customers should be advised to include their Unique Person Indicator (UPI) number on the payment. • Cash payments are not accepted • Payments are accepted via: D-160.1 MAGI APPLICATION PROCESSING NEVADA CHECK UP Division of Social Services Medical Assistance Manual 25 July MTL 07/25