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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D-110 APPLICATION ASSISTANCE (42 CFR 435.908) If an individual needs help completing the application or redetermination, a volunteer or staff member must help. Anyone helping complete the application form must initial the parts completed or sign the form showing they helped complete it. D-115 FILING THE APPLICATION The application date is the day the district office receives an application form containing the applicant’s name, address, and appropriate signature. Applications received by the Division outside of normal business hours, through electronic sources such as Access Nevada, the Exchange, or local office drop boxes, are considered received and date stamped the next business day. This is the first (1st) day these applications are available to the Division for processing. D-120 WITHDRAWAL OF APPLICATION An individual may voluntarily withdraw an application any time before a case decision is made. D-125 REGISTRATION OF THE APPLICATION All paper applications for medical assistance, received via fax, mail, drop-box, telephonically and in- person are documented and date stamped by the Division. These applications will be electronically scanned and registered timely for an eligibility determination. Applications for multiple programs submitted online through Access Nevada will produce a PDF document for Medical, Supplemental Nutrition Assistance Program (SNAP) and/or Temporary Assistance for Needy Families (TANF). These PDF documents are application summaries only and may not be re printed and used as a new paper application. D-130 DUPLICATE ASSISTANCE SCREENING All household members requesting or applying for initial or continued assistance must be screened by social security number and name to avoid duplicating assistance. Assistance can only be provided from one (1) Nevada Medicaid/Children’s Health Insurance Program (CHIP) program at a time. Nevada Medicaid/CHIP Programs include: Family Medical Coverage (FMC) Infants and Children under age 19; Parent/Caretaker Relative; Pregnant Women and Postpartum; Childless Adult; Transitional Medicaid; Post Medical, Emergency Medicaid; Omnibus Budget Reconciliation Act (OBRA) Nevada Check Up (NCU) Nevada Check Up D-110 MAGI APPLICATION PROCESSING Division of Social Services Medical Assistance Manual 25 July MTL 07/25 APPLICATION ASSISTANCE