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• An inmate of a public institution is ineligible for Medicaid UNLESS the institution is a medical institution. An inmate of a penal institution is NEVER eligible for Medicaid while in the custody of law enforcement officials, UNLESS admitted as an inpatient to a hospital, nursing facility, juvenile psychiatric facility, or ICF. If determined Medicaid eligible, this individual is eligible for any Medicaid-covered services provided to them while an inpatient in these facilities. If this individual becomes an inpatient of a long-term care facility, they must meet level of care and plan of care assessments to become eligible. • Individuals under age 22 receiving inpatient psychiatric services in a Residential Treatment Center (RTC) are considered to be in an acceptable living arrangement. • RTCs specialize in treating children with conduct disorders, personality disorders, depression, hyperactivity, academic failure, and/or mild learning disabilities. Medicaid will pay for services provided in the RTC if the admission was prior authorized/certified by Medicaid’s Peer Review Organization (PRO). F-105 DEFINITIONS Institutionalized Spouse – a married person residing in a medical facility at least 30 consecutive days who has a spouse in an independent living situation. Community Spouse – a married person who is not in a medical facility whose spouse has been residing in a medical facility at least 30 consecutive days. Spouse – a person legally married to another under state law. In Nevada, a person is married until divorced. Medical Facility – a facility for skilled nursing or intermediate care, or a hospital. Spousal Share – an amount equal to one-half of the total resources (separately and jointly held) at the time of the spouse’s institutionalization. Community Spouse Maintenance Allowance – an amount of income and/or resources allocated to the community spouse to allow them to maintain residence in the community. Personal Needs Allowance – an amount of income institutionalized Medicaid recipients are allowed to keep to meet their own needs. Continuous Period of Institutionalization – institutionalized at least 30 consecutive days. To determine whether Spousal impoverishment resource provisions apply, a continuous period ends when the customer is absent from an institution for 30 consecutive days. Designation of Resources through a Court Order – resources and/or portions of resources ordered to the community spouse by a court of competent jurisdiction. Liquid Resources - cash and other items that can reasonably be converted to cash within 20 workdays. Non–Liquid Resources - items that are not cash and cannot be converted to cash within 20 workdays. F-100.1 LONG TERM CARE SERVICES Eligibility Exceptions Division of Social Services Medical Assistance Manual 08 Aug MTL 08/25