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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services D-540.1 Medical Assistance Manual CHANGES 24 Jan 25 MTL 02/24 CONVERSIONS c. Ensure the medical facility is added as an authorized representative (use category 4 if not signed on as primary or secondary by applicant).

d. Evaluate case for transfer of resources when converting from any category other than home based waiver.

e. Evaluate court orders and income trusts if applicable.

f. Evaluate for other possible benefits; veterans or widows of veterans may be eligible for Aid and Attendance or have VA insurance benefits. The pension of a veteran residing in a Nevada State Veteran’s home is not reduced to $90.

g. Complete a redetermination if all required factors of eligibility are available and verified.

h. Update the appropriate screens in the system, view, and post versions to update to appropriate aid and eligibility code. Allow adverse action for any reduction in benefits, including QMB.

Note: Customers have multiple GRIN screens when they enter/leave different facilities. One screen should be entered for each facility stay.

i. Notify the customer and authorized representative of the change in benefits and patient liability amount. Add free form text to ensure a notice is generated.

j. Evaluate for parental financial obligation for children under 18.

D-540.2 Converting to Home Based Waiver Eligibility

a. Ensure Form 2734 authorizing home based services is completed, and that if the customer is under age 65, there is a current disability decision by SSA or DHCFP through Form 3004.

b. Evaluate current resources and compare to institutional resource limit. When the applicant is married (living separate or together), request the couples’ current resources and complete a spousal resource assessment.

Note: This step is not necessary when converting from institutional > 30days unless a change in resources is reported. c. Evaluate current income; do not request verification unless a change in income occurs.

d. Ensure the appropriate agency is added as an authorized representative.

e. Evaluate case for transfer of resources when converting from any category other than institutional >30 days.

f. Evaluate court orders and income trusts if applicable.

g. Complete a redetermination if all required factors of eligibility are available and verified.

h. Update the appropriate screens in the system, view and post versions to update appropriate aid and eligibility code.