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Division of Welfare and Supportive Services H-105 Medical Assistance Manual PRESUMPTIVE ELIGIBILITY 23 Oct 01 MTL 04/23 ELIGIBLE GROUPS d. Childless adults age 19-64 o age 19 and under age 65; and o not pregnant; and o not entitled to or enrolled in Medicare benefits under Part A or B; and o not otherwise eligible for medical coverage in any other group; and o member of a household that has income that is at or below 138% FPL for the applicable family size. (CA aid code)
e. Aged Out of Foster Care o under 26 years of age; and o were in foster care in Nevada, under the responsibility of the state at the time they turned 18 years of age; and o were enrolled in Medicaid while in foster care; o were in foster care under the responsibility of any state and turned 18 years of age on or after January 1, 2023. OR o under 21 years of age; and o were in foster care under the responsibility of a state at the time they turned 18 years of age.
Note: Aged out of foster care is aid code AO regardless of which category. Individuals who qualify as AO should be referred to the Division of Child & Family Services (DCFS) website for more information at http://dcfs.nv.gov/Programs/CWS/IL/ where they can obtain a copy of the full Medicaid application for AO individuals.
MAGI Exception: Individuals who receive Supplemental Security Income (SSI) from social security may qualify for PE under any eligibility group identified above. SSI individuals must meet all other factors of eligibility to qualify. SSI income is not countable under the PE program.