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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD D-340.3 Pending SSI Determinations When a pending SSI application is approved by SSA, an eligibility decision must be made within 10 working days from the date the staff receives the SSI determination, unless extenuating circumstances exist. When a pending SSI application is denied by SSA, deny the pending Medicaid application. If the applicant requests reinstatement of a denied Medicaid application, request proof of filing a timely reconsideration with the SSA, if provided return the Medicaid application to pending status. The timely reconsideration must be for the same Social Security application that the original Medicaid application was based on and not a new claim. Do not request verification of citizenship during the pending SSI period. If the applicant is approved for SSI, they will meet the citizenship documentation requirements. If the applicant moves out of state while pending SSI: • Terminate ongoing eligibility months for no residency; and • Leave previous months pending the SSI determination; and • When SSI decision is received, approve any verified Nevada SSI months. If the applicant becomes eligible in another Medicaid category while pending SSI: • Terminate the SSI pending months for duplicate assistance; and • Leave any months not covered by another category pending in the system until the SSI determination is made; and • Do not approve SSI eligibility for months the applicant was eligible under another Medicaid category. Terminate the other Medicaid eligibility and begin the SSI eligibility in the next available month. D-340.4 Financial Verification D-340.4.1 Income Verify the income of the applicant and their spouse if the applicant is married and residing with their spouse or when the couple is separated due to institutionalization. Electronic verifications must be used when available and prior to sending an Insufficient Information Form requesting any paper documentation. Request paper documentation only when no electronic data sources are available. D-340.4.2 Resources Verify all countable resources of the applicant and their spouse if the applicant is married and residing with their spouse or when the couple is separated due to institutionalization. Institutional and Home-Based Waiver (HBW) Spousal Resource Assessment – Resources of an institutionalized individual or HBW applicant and their spouse must be verified regardless of living circumstances. Individuals are considered married until divorced for the purposes of the spousal resource assessment. D-340.3 MAABD APPLICATION PROCESSING Division of Social Services Medical Assistance Manual 14 Aug 25 MTL 11/25 Pending SSI Determinations