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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services D-410 Medical Assistance Manual REDETERMINATIONS 16 May 01 MTL 02/16 MAABD REDETERMINATIONS If the individual subsequently submits the signed renewal within 90 days after the termination notice date, use the RD form in lieu of a new application to evaluate ongoing eligibility. Prior medical may be evaluated if requested during the 90 day grace period. After the 90 day grace period a new application is required. A medical redetermination may be completed between regular renewals any time DWSS receives information about a change in circumstances that may affect eligibility. See D-440 for more information. D-410.1 Verification at Redetermination Verify the following eligibility factors at redetermination:  SSI Recipients – Verify receipt of SSI as a Nevada resident using SOLQ or any other available electronic data source. Complete the redetermination without requesting any further information from the client.  Resources  Expenses – verify monthly expenses used in the patient liability calculation. If not provided calculate patient liability without the expenses.  Authorized representative changes - Assume there is no change in the status of the A/R for the client unless they report a change.  Residency – accept client statement Do not re-verify:  Disability - unless Nevada Medicaid Office determines that a beneficiary's disability no longer meets the definition of disability or SOLQ indicates disability has ended.  Income:  If the individual returns verification of income and a 30/60 day best estimate of their pay history accurately reflects their current circumstances, consider the income verified and continue ca se processing.  If the individual has an open TANF or SNAP case with verified income information and this verification reflects their current circumstances, consider the income verified and continue with case processing. Note: If the individual does not provide their paystubs, and the information cannot be obtained via an electronic data source, pend the client allowing 10- days to return the necessary verifications. Do not automatically terminate the case for non-cooperation.