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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL o Online, visit www.e-billexpress.com/ebpp/NVMedicaid/; o Over the phone, call 775-684-3660; or o Mail to: Nevada Check Up Program PO Box 847346 Los Angeles, CA 90084-7346 Late payments paid in-person will be accepted at the following locations: Carson City 1000 E. William St. Ste. 118 Carson City, NV 89701 (775) 684-3660 Elko 1010 Ruby Vista Dr. Ste. 103 Elko, NV 89801 (775) 753-1191 Las Vegas 1210 S. Valley View Blvd Ste. 104 Las Vegas, NV 89102 (702) 668-4200 Reno 745 W. Moana Ln. Ste 200 Reno, NV 89509 (775) 687-1900 Households with children who are Native American and Alaskan Natives are not charged a monthly premium. Children of American Indian descent are exempt from the premium. Verification of American Indian descent must be provided in order to waive the premium. The child’s tribal affiliation should be entered on the Members BAP. Premiums are calculated by the system and transmitted for collection. Disenrollment will occur if a household is 60 days or two (2) full months past due. Staff will be notified with a task in the system when non-payment has occurred. See D-500 Changes for processing non-payment. D-170 CASE DOCUMENTATION (42 CFR 435.913) Staff must include in each individual's case record facts to support the decision on the application. Documentation must be clear and concise. Provide enough information so anyone reviewing the case can determine the reason, logic and accuracy of the case manager’s decisions and actions. MAGI APPLICATION PROCESSING Division of Social Services Medical Assistance Manual 25 July MTL 07/25 NEVADA CHECK UP PREMIUMS D-165