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A-100 TABLE OF CONTENTS

MEDICAL ASSISTANCE PROGRAM MANUAL PART A – GENERAL PROVISIONS AND DEFINITIONS MEDICAL ASSISTANCE OVERVIEW 100 Purpose and Applicability 105 Medical Assistance Overview 110 Cooperation 115 Prior Medical 115.1 Applying For Prior Medical Coverage 115.2 Verification of Prior Medical Assistance 120 Authorized Representative 120.1 Spousal Authorization 125 Medicaid Card 130 Managed Care Enrollment 135 Services Provided by Nevada Medicaid 140 Medicaid Estate Recovery Program 140.1 Legal Authority 140.2 Program Overview 140.3 Affected Individuals 140.4 Notification to Affected Individual 145 Referral of Cases to MER Unit 145.1 Initiation of MER Activities A-200 DEFINITIONS AND ACRONYMS 200 Definitions and Use of Terms 210 Acronyms PART B – MEDICAID CATEGORIES B-100 MAGI MEDICAL CATEGORIES 100 Overview 105 Family Medical Coverage Groups 110 Parents and Other Caretaker Relatives (42 CFR 435.4, 42 CFR 435.110, 42 CFR 435.911) 110.1 Shared Custody 115 Pregnant Women and Postpartum (42 CFR 435.4, 42 CFR 435.116, 42 CFR 435.911) 120 Infants and Children Under Age 19 (42 CFR 435.118, 42 CFR 435.911) 120.1 Deemed Newborn Children (also known as OBRA) (42 CFR 435.117) 120.2 Nevada Check Up (NCU)-Children with Income Above Medicalid Limits and Below 205% FPL (42 CFR 457) 125 Childless Adults/Individuals Age 19 Thru 64 (42 CFR 435.119, 42 CFR 435.911) 130 Transitional Medicaid Coverage (1925, 42 CFR 435.112) 135 Post medical (42 CFR 435.115) 140 Emergency Medicaid MAGI (42 CFR 435.139, 42 CFR 435.406) Division of Social Services Medical Assistance Manual 13 Aug 25 MTL 10/25