Page 7

MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI Note: Prior to approving Transitional Medicaid, if information is received by the agency which indicates a household was incorrectly determined eligible for AM, the household would be ineligible for Transitional Medicaid. Re-evaluate the Medicaid case for any other possible category before terminating assistance, allowing for adverse. A referral to Investigations & Recovery would be needed for any potential Medicaid overpayments. If Transitional Medicaid is already approved and there is no adverse to stop the initial month of Transitional Medicaid, the household cannot be terminated from Transitional Medicaid unless it meets one of the failure reasons listed below. Transitional Medicaid will only terminate if: a. The assistance unit ceases to include a child. Terminate the Transitional Medicaid case, allowing for adverse, in the first (1st) month after the child is no longer residing in the home. Evaluate the assistance unit members for other applicable medical categories. b. The household moves out of state. c. Non-cooperation with TPL. For more information see MAM C-600 Third-Party Liability & C­ 610.1 Verification. B-135 POST MEDICAL (42 CFR 435.115) Extended medical assistance is provided to individuals eligible under AM who were eligible and enrolled in Medicaid in at least three (3) out of the six (6) months immediately preceding the month that eligibility is lost due to increased income from the collection of spousal support under Title IV-D of the Social Security Act (IV-D). Post Medical eligibility includes all parents or other caretaker relatives and children of such parents and caretaker relatives who were eligible and enrolled in at least three (3) of the six (6) months. Note: The system does not determine Post Medical eligibility automatically and requires an override to create eligibility. B-140 EMERGENCY MEDICAID MAGI (42 CFR 435.139, 42 CFR 435.406) Provides limited medical assistance for emergency services to residents of the state who meet the eligibility requirements of any MAGI medical group (except NCU) and who are qualified non-citizens who have not met the five (5)-year bar or are non-qualified non-citizens. Non-qualified non-citizens are not required to provide verification of a social security number or documentation of immigration status. These individuals are only entitled to coverage for emergency services. Some non-citizens may be lawfully admitted, but only for a temporary or specified time period. These individuals do not meet Nevada residency requirements, and include: MAGI MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 25 Apr MTL 05/25 TRANSITIONAL MEDICAID COVERAGE B-130