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H-110 Division of Welfare and Supportive Services PRESUMPTIVE ELIGIBILITY Medical Assistance Manual FACTORS OF ELIGIBILITY 17 Jul 01 MTL 04/17 H-110 FACTORS OF ELIGIBILITY
To be eligible for PE, potential recipients must meet certain citizenship, residency, and income criteria.
Citizenship – Individuals must attest to U.S. Citizenship or indicate they are a Lawful Permanent Resident and have been continuously residing in the U.S. for 5 years.
Residency – Individuals must be living in Nevada with the intention of making Nevada their home permanently OR must be living in Nevada with a job commitment or seeking employment. Individuals are not required to have a fixed place of residence to meet this requirement.
Income – Individuals must meet income eligibility criteria for the appropriate eligibility group. MAGI specific Federal Poverty Levels (FPL) and their effective dates are listed in MAM Appendix A.
Budget the current taxable gross income received, or anticipated to be received, for every individual included in the assistance unit, with the following exceptions:
a. Income of a child in the parent’s assistance unit determination unless the child is required to file a tax return.
b. Income deemed non-taxable.
c. Allowable pre-tax deductions.
Note: See MAM E-300 for types of earned and unearned income, E-110.1 for who must file a tax return and E135.1 for allowable deductions.
Assistance Unit – Must apply non-filer rules to all cases.
The non-filer household consists of the individual and, if living with the individual;
a. the individual’s spouse/domestic partner; and
b. the individual’s natural, adopted and step children under age 19; and
c. in the case of children under age 19:
1. the child’s natural, adopted and step parents; and 2. natural, adoptive and step siblings under age 19