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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D-170.1 Case Records (NRS 239.080, NRS 230.125) The Division must maintain case files in accordance with the state’s record retention schedule. Records must be maintained for 37 months after the case closure date. D-175 PRIOR MEDICAL COVERAGE Prior medical coverage is available for up to three (3) months prior to the application month if the individual requesting the coverage meets all eligibility requirements for that month. See MAM A-115 Prior Medical. D-180 REINSTATEMENTS Reinstatements are allowed for the following reasons: • The household provided verification within 10 days from date of denial. • The household provides verifications prior to the termination action being taken. • The customer provides RD form and all verifications within 90 days from termination of RD. (See MAM D-400 Redeterminations) Reinstatements for other reasons are made at the discretion of the social services manager (SSM) or supervisor. D-185 "PRUDENT PERSON" PRINCIPLE The policies included in the manual are rules for determining eligibility. It is impossible to foresee and give examples for all situations; therefore, staff are encouraged to use reason and apply good judgment in making eligibility decisions when rare and unusual situations are encountered. Reasonable decisions made by staff based on the best information available using good judgment, program knowledge, experience, and expertise in a particular situation are referred to as prudent person principle. Document the rationale used to make a decision and any applicable manual references and policy interpretations. Follow local office procedures for obtaining an interpretation from Eligibility and Payments (E&P) Program Specialists, when it is impossible or inadvisable to follow the prudent person principle because of a lack of information or program knowledge. Note: All questionable circumstances should be referred to Investigations and Recovery (I&R) following applicable I&R referral processes. D-170.1 MAGI APPLICATION PROCESSING CASE RECORDS Division of Social Services Medical Assistance Manual 25 July MTL 07/25