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H-200 130 Time Frames 135 “Prudent Person” Principle 140 Withdrawal of Application 145 Case Documentation 150 Presumptive Eligibility Standards 151 DSS Program, Review and Evaluation (PRE) Audit 155 Conditions of Participation 160 Case Records and Retention (NRS 239.080, NRS 239.125) 165 Authority Hospital Presumptive Eligibility – DSS Case Manager Guidance 200 Overview 201 Qualified Providers/Qualified Hospitals 205 Eligible Groups 210 Factors of Eligibility 215 Verification 220 HPE Coverage Period 225 Notification APPENDICES Appendix A MAGI Income Charts, Verification Plan, Aid Code Charts Appendix B Possible Benefits Available to Division Social Services Customers Appendix C MAABD Income Standard Chart Appendix D Benefit Level Chart (SSI, VA, QMB, SLMB, QI1, QI2, QDWI, County Match, Spousal Impoverishment) Appendix E BIC Code Values Appendix F MAABD Budgets Appendix G PRUCOL Verification Appendix H Determining Countable RSDI Payments for MAGI Budgeting Appendix I Non-Citizen Matrix Division of Social Services Medical Assistance Manual 13 Aug 25 MTL 10/25