Page 8
MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D-530.4 Division of Welfare and Supportive Services CHANGES Medical Assistance Manual CUT-OFF 24 Jan 25 MTL 02/24 D-530.4 Cut-Off
Medicaid actions that do not adversely affect benefits, such as a change in aid code, can be taken up to the second to the last workday of the month. Adverse actions taken after cutoff will not be reflected in the MMIS (Medicaid billing) system. An additional month of Medicaid billing will take place and capitation fees will be charged when termination is posted after cutoff for the following month.
The following is a chart showing the cut-off dates for 2024.
Month Cut-Off January 01/24/24 February 02/21/24 March 03/22/24 April 04/19/24 May 05/24/24 June 06/21/24 July 07/24/24 August 08/20/24 September 09/20/24 October 10/24/24 November 11/22/24 December 12/20/24
D-535 RE-EVALUATIONS - NEVADA CHECK UP
a. Cases will only be re-evaluated at the time of RD unless one of the following occur:
• NCU discovers or is notified that the information used to enroll a child/ren was incomplete or inaccurate;
• The participant requests to add a child (child/ren currently enrolled will remain enrolled until the time of RD).
• The participant requests a reduction in premium when household income has changed (child/ren will remain enrolled until the time of RD).
b. Re-evaluations must be processed before the corresponding cut-off but not to exceed 30 days.