Page 5

MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services D-525.4 Medical Assistance Manual CHANGES 24 Jan 25 MTL 02/24 ADDITIONS TO THE HOUSEHOLD ● a new member is requesting coverage and the change results in an increase in eligibility, the case is updated the month in which it is reported by the assistance unit.

● information or verification needed to add a household member is not provided by the date requested, terminate assistance.

● a newborn is reported, and all eligibility requirements are met, add them to the assistance unit effective their date of birth. Use the most readily available verification to add the child to the medical case. Example: Customer statement, hospital discharge forms, managed care alert, birth confirmation.

Newborns are eligible for Medicaid for one year without a separate application when the mother was eligible for Medicaid at the time of the birth.

A newborn may be enrolled without a Social Security Number (SSN); however, an SSN will be required by the child’s first birthday.

D-525.4.1 Exceptions for Adding Newborns to NCU Cases

 A newborn will be retro enrolled in Nevada Check Up if the following criterion is met:

● The agency is notified within 14 days from the date of birth (the first day begins the day after the date of birth).

If the notification criterion is not met, the newborn will be enrolled the next administrative month following notification if deemed eligible. Exception: if the mother has other health insurance that provides 30 days of coverage for the newborn, the newborn will be enrolled as of the first day of the next administrative month following the date of birth. Upon notification of birth, NCU will confirm that the newborn does not have other insurance coverage prior to enrollment.

 A newborn cannot be enrolled prior to a family’s start date.

 A newborn may be enrolled without a Social Security Number (SSN); however, an SSN will be required by the child’s first birthday.

D-525.4.2 NCU Enrollment

Once determined to be eligible for NCU, a child(ren) will be enrolled beginning the next administrative month.

D-530 TERMINATIONS FOR MEDICAID

Prospectively determine ongoing medical assistance using the policy in effect for the future month.