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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD • Nevada Division of Public and Behavioral Health (DPBH) Waiver Program (including SSI recipients residing in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/ID) facilities); and SSI recipient, age 0-19, residing in appropriate settings as determined by Medicaid. Under no circumstances will the policy in this section affect the child's Medicaid eligibility. D-385.1 Definitions • Parent – natural/adoptive parents and stepparents. • Income – all earned and unearned income to include but not limited to the sources described in MAM E-300 Types of Earned and Unearned Income without regard to any exclusions. D-385.2 Calculating Monthly Parental Reimbursements Based on the parent(s) gross monthly income and considering court ordered child support/alimony, home care credit, medical expenses, and health insurance covering the disabled child, the amount of monthly reimbursement is determined as: 1. Family Size Determine family size, choosing one (1) of the following methods, whichever is greater (most benefits the parent(s) in allowing the family deduction): • Count the disabled child(ren), their blood-related siblings, and natural/adoptive parent(s) living in the home; or • Allow the total number of exemptions claimed on last year’s Federal Income Tax Form 1040 or 1040A. 2. Countable Income Determine the amount of the natural/adoptive parent(s) adjusted gross income using Federal Income Tax Form 1040, 1040A, or Form W-2. Parent(s) who are self-employed must provide copies of their last two (2) income tax returns. Parent(s) claiming their current income is substantially different than the income reported on their tax forms must provide proof of their actual income. If the natural/adoptive parent is married and living with an individual who is not the natural/adoptive parent of the disabled child (stepparent to the disabled child), total the natural/adoptive parent’s and stepparent’s gross annual income and divide it equally. This one-half (1/2) share will be considered the natural/adoptive parent's annual gross income to determine the reimbursement amount. 3. Court Ordered Child Support or Alimony Court ordered child support obligations paid by the natural/adoptive parent will be deducted as an annual cost from the gross annual income. When the custodial parent and non-custodial (NCP) live D-385 MAABD APPLICATION PROCESSING PARENTAL FINANCIAL RESPONSIBILITY FOR Division of Social Services Medical Assistance Manual 14 Aug 25 MTL 11/25 SERVICES PROVIDED TO DISABLED CHILDREN