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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Applications will be processed in the Yerington District Office regardless of the location of the child. Applications will be processed within 3 working days of receipt of the application AND the required documentation, unless unusual circumstances exist. The redetermination date in the system should be set to coincide with the IV-E redetermination. If the child may be eligible for medical assistance under a different category of Medicaid or Nevada Check Up, inform the agency of the child’s potential eligibility and attach the appropriate application to the Notice of Decision. D-220.2 Verifications Title IV-E eligibility - Staff at Rite of Passage must provide the following written verification from the custodial state (the state making placement): ● Child’s name ● Child’s Social Security Number ● Child’s gender ● Verification of the type of IV-E assistance (adoption or foster) provided ● The amount of IV-E cash assistance the child receives each month ● Proof of any other medical insurance coverage (Third Party Liability) ● The next redetermination due date for IV-E eligibility Citizenship – follow citizenship rules in C-100 Age – Child must be less than 18 years of age. Living arrangement – child must be residing at Rite of Passage facility in Nevada D-220.3 Denial/Termination Assistance is denied when: ● One or more of the eligibility criteria is not met; and/or ● Information essential for determining eligibility is requested in writing, but not provided by the required date. ● Rite of Passage fails to provide the information needed to complete the redetermination process, and/or ● the recipient no longer meets the eligibility criteria for this category of assistance. Notify the applying agency of the denial and the reason for the denial/termination. Note: If the child may be eligible for medical assistance under a different category of Medicaid or Nevada Check Up, inform the agency of the child’s potential eligibility and attach the appropriate application to the Notice of Decision. D-220.1 Division of Welfare and Supportive Services SPECIALIZED GROUPS-APPLICATION PROCESSING Medical Assistance Manual APPLICATION MTL 01/13 01 Oct 13