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H-105 Division of Welfare and Supportive Services PRESUMPTIVE ELIGIBILITY Medical Assistance Manual ELIGIBLE GROUPS

23 Oct 01 MTL 04/23 • Children on CH1 aid code can have dental and vision insurance but cannot have other major medical insurance.

Note: This group only covers children approved for CH and/or CH1 categories. Pregnant children are evaluated under the Pregnant Women group for CHP or CHO. Qualified providers or hospitals do not make determinations for Nevada Check Up.

b. Parents and caretaker relatives o A relative of a dependent child by blood, adoption, or marriage with whom the child is living, who assumes primary responsibility for the child's care, and who is one of the following:

1. the child's father, mother, grandfather, grandmother, brother, sister, stepfather, stepmother, stepbrother, stepsister, uncle, aunt, first cousin, nephew, or niece;

2. the spouse of such parent or relative, including same-sex marriage, even after the marriage is terminated by death or divorce; or

3. another relative of the child based on blood (including those of half- blood), adoption, or marriage;

4. the domestic partner of the parent or other caretaker relative; (domestic partnerships must be registered in Nevada.)

o Parents and caretakers with household income that is at or below 138% FPL for the applicable assistance unit. (AM aid code).

o Parents and caretakers with income between the AM income limit and 138% of FPL (AM1 aid code);

• Are not eligible if they are entitled to or enrolled in Medicare.

Note: See MAM Appendix A, MAGI Income chart

c. Pregnant women o Pregnant women with household income that is at or below 165% FPL for the applicable family size. (CHP aid code) o Pregnant women approved for prenatal PE service only. (CHO aid code).

Note: Each unborn is counted as an additional member when determining assistance unit size for the pregnant woman’s assistance unit.