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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD D-360.1 Case Records (NRS 239.080, NRS 239.125) 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. The MAABD case file should include: • The original application. It must be retained in the current case file and not purged. • A copy of the Medicaid Estate Recovery (MER) notice; and • A copy of the original spousal resource assessment. D-365 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. Eligibility is determined on a month-by-month basis for each individual requesting coverage. Follow eligibility budgeting rules for the appropriate medical category to determine financial eligibility for each month coverage is requested. Exceptions: • QMB categories are not eligible for prior medical coverage. Eligibility for these groups is effective in a future month. • Prior Medical under the HIWA program CANNOT exist prior to July 1, 2004. D-365.1 How to Apply for Prior Coverage A request for prior medical coverage may be made on any medical assistance application and is considered a separate application because it is for months predating the initial application. Prior medical requests may be added during the pending period and during the 12-month period after approval provided the case remains open. Therefore, approval, denial or pending of a prior medical request must always be addressed in a notice to the household. Do not delay an ongoing eligibility decision while obtaining information to determine prior medical eligibility. In addition, if the household is only requesting prior coverage, provide an ongoing eligibility decision at the time of application. D-365.2 Eligibility for Prior Coverage Approve medical assistance for the person requesting coverage in the three (3) months prior to the application month only for those months in which the individual met all eligibility requirements including citizenship. D-360.1 MAABD APPLICATION PROCESSING Division of Social Services Medical Assistance Manual 14 Aug 25 MTL 11/25 Case Records (NRS 239.080, NRS 239.125)