Nevada Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
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PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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FAQ

Other Access Nevada Programs Medicaid and Nevada Check Up services are provided through Managed Care Organizations (MCO) ? Anthem Blue Cross and Blue Shield, Health Plan of Nevada, Molina Healthcare of Nevada, and SilverSummit Healthplan. Dental services are managed by Liberty Dental Plan.

Apply for Medicaid in Nevada Also, coverage is available if your household income is up to 138% of poverty (about $16,105 for a single person). For pregnant women, income can be up to 160%, and children are eligible for CHIP with household income up to 200% of poverty.

Adults receive coverage of emergency dental care, palliative care, and certain prosthetic procedures and services, while adult pregnant women may receive certain extra benefits. Adults qualify to receive coverage of these services as long as they receive only Medicaid coverage and not also NCU.

Hospital presumptive eligibility (PE) is a policy option that allows hospitals to provide temporary Medicaid coverage to individuals likely to qualify for Medicaid.

If you do qualify for Medicaid, there is no limited-enrollment period, meaning you can enroll at any time. In Nevada, households with annual incomes of up to 138% of the federal poverty level may qualify for Medicaid. This is $16,753 per year for an individual, or $34,638 per year for a family of four.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Presumptive Eligibility for Pregnant Women is immediate and temporary coverage for low-income women who are pregnant and might be eligible for Medi-Cal. Coverage is available for up to 60 days while you apply for ongoing Medi-Cal.

How long does it take to get Medicaid in Nevada? States are required to respond to Medicaid applications within 45 days. If your application involves Medicaid for disability, then it might take up to 90 days.

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Nevada Application for Presumptive Eligibility for Medicaid