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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL If any household member is over age 65 and/or lists any disability, impairment, need for additional services, or institutionalization, the Division must evaluate for Medical Assistance for the Aged, Blind, and Disabled (MAABD). D-101.3 No Mailing Address Provided If the application is new with no open programs, and no mailing address is provided, staff must not date stamp nor register the application until the mailing address is obtained. Staff must attempt to contact the household via all available phone number(s) to obtain the mailing address. If contact is not made, it is an inquiry only and should not be retained. For redeterminations, the address is pre-printed on the form. If the customer does not state their address has changed and there is no reason to question the mailing address on file, including for customers who have previously used General Delivery, the mailing address on file is considered valid and the redetermination should be evaluated following normal eligibility guidelines. This includes redeterminations where the customer chooses to use other application methods instead of the Redetermination of Medical Eligibility form - NRD1, as they are known to the system, and they currently have an open ongoing case. NOTE: It is not allowable to simply enter General Delivery for a mailing address when the information is missing on the application. A General Delivery address should only be entered when provided by the customer or A/R. Staff should make every attempt to collect the information, but if unsuccessful, it is an inquiry only and should not be retained. D-105 REQUESTS FOR AN APPLICATION The applicant or their representative may request an application by contacting customer service, the district office or downloading an application from the Division’s web page at dwss.nv.gov. Applicants should be encouraged to visit the website to complete an online application for medical assistance. See D-125 Registration of the Application for more information. Form 2960, Application for Health Insurance should be provided to anyone requesting medical assistance for non-elderly, non-disabled individuals and families. Form 2920, Application for Assistance to Aged, Blind and Disabled (MAABD) should be provided to anyone requesting medical assistance for aged, blind or disabled individuals. Individuals applying for medical assistance under the specialized groups should apply using the specialized applications for each group. (See Medical Assistance Manual D-200 Specialized Group Application Processing). Accept any approved medical application form, if the application requires additional information, contact the household to obtain the information needed to process the application for the appropriate medical category. If unable to contact the applicant, mail an Insufficient Information Form requesting the additional information. D-101.2 MAGI APPLICATION PROCESSING NO PROGRAM SELECTED Division of Social Services Medical Assistance Manual 25 July MTL 07/25