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F-210 Division of Welfare and Supportive Services HOME AND COMMUNITY BASED SERVICES Medical Assistance Manual ELIGIBILITY REQUIREMENTS 24 Jan 25 MTL 02/24

3. Meet all financial and non-financial eligibility criteria of an institutional case except they reside in a group home rather than an acute care or skilled nursing facility;

4. Require a level of care provided in a nursing facility (determined by ADSD); and

5. Demonstrate he/she would be safe in a group care environment (determined by ADSD). c. AL Waiver – Aged Individuals – Living in Assisted Living Facility – Clark County only

1. Be age 65 or over;

2. Meet the criteria for placement in an assisted living facility;

3. Meet all financial and non-financial eligibility criteria of an institutional case except they reside in an assisted living facility;

4. Require a level of care provided in a nursing facility (determined by ADSD); and

5. Demonstrate he/she would be safe in an assisted living environment.

d. WIN Waiver – Blind/Disabled Individuals

1. Be living at home;

2. Meet blindness/physical disability criteria;

Blindness/disability criteria are the same as the Social Security Administration's.

If the customer is currently receiving disability benefits through SSA, use disability onset date as verification of disability.

If the customer is not receiving Social Security Disability, or if the customer is pending a disability decision through the SSA, the DHCFP case manager will initiate Form NMO-3004 and send with medical records to the DHCFP waiver team. DHCFP will determine if the applicant meets the criteria for the physically disabled. The DWSS case manager will receive the original NMO-3004 form and a copy of Form NMO-3010 approving or denying waiver admission.