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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL H-210 Division of Welfare and Supportive Services HOSPITAL PRESUMPTIVE ELIGIBILITY Medical Assistance Manual FACTORS OF ELIGIBILITY 23 Oct 01 MTL 04/23

Qualified providers and hospitals are not limited to registered patients; they may assist with presumptive determinations for family members and other non-patients.

Participants are eligible for one (1) presumptive eligibility period in a 24-month period.

Exception: Pregnant individual may receive one (1) presumptive eligibility (prenatal or hospital) period per pregnancy.

H-210 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.

Assistance Unit – Must apply non-filer rules to all cases. The 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

H-215 VERIFICATION

Hospitals are prohibited from requiring individuals to provide verification of any of the eligibility factors used in a Medicaid determination. Hospitals must accept client attestation for all factors of eligibility.

H-220 HPE COVERAGE PERIOD

The PE period begins the day the HPE determination is made by the hospital and ends the last day of the month following the month of the eligibility determination, if an

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Official source

Qualified providers and hospitals are not limited to registered patients; they may assist with presumptive determinations for family members and other non-patients.

Participants are eligible for one (1) presumptive eligibility period in a 24-month period.

Exception: Pregnant individual may receive one (1) presumptive eligibility (prenatal or hospital) period per pregnancy.

H-210 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.

Income – Individuals must meet income eligibility criteria for the appropriate eligibility group.

Assistance Unit – Must apply non-filer rules to all cases. The 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

H-215 VERIFICATION

H-220 HPE COVERAGE PERIOD

The PE period begins the day the HPE determination is made by the hospital and ends the last day of the month following the month of the eligibility determination, if an