Emergency Medicaid

Emergency Medicaid is month-to-month Medicaid Coverage for people who are undocumented or non-citizens and have an emergency medical situation.

Only emergency medical conditions are covered. For example, pre-natal care is not covered, but the actual delivery of the child is covered.

Who is eligible?

• Parents of a dependent child or children age(s) 6-19 in a household earning 100% or below the Federal poverty Level. For parents to be eligible, households must meet the Asset Test (less than $2000 in checking and savings, own one car and own one home).
• Children 1-5 in a household earning 133% or below the Federal Poverty Level.
• Pregnant women and child(ren) 0-1 in a household earning 185% or below the Federal Poverty Level.
• Individual with disabilities, blind or over 65 years of age, who would qualify for SSI if not undocumented immigrants.

Basically, Emergency Medicaid is for people who would be eligible for Medicaid based on income resources and household size, but due to citizenship requirements they are not eligible. For example, a single person with no disabilities who is age 26 would still not qualify for Emergency Medicaid because there is no Medicaid category for this person.

To Apply:

Fill out MAABD application or check “MAADB” box on regular application for person applying for benefits. Also, write “Emergency Medicaid” on the top of the first page of the application.

This program does do retroactive payment of medical bills for eligible applicants. However, the applicant must mark “yes” to question #13 on Page 2 of the Medicaid application. In addition, the applicant must have evidence of all prior medical bills they are asking for payment.

Katie Beckett Option

This program provides medical assistance coverage for certain children under age 18 who have disabling conditions and live at home. This program enables children with special health care needs or disabilities to be cared for at home instead of in an institution. Only the child's income and resources are used in determining financial eligibility. The cost of care at home compared to the cost in an institutional setting is also used in determining eligibility. In order to find out if you and your child qualify for the Katie Beckett Waiver it is important to make an appointment at the nearest Welfare District office. They can assist you by providing more information and providing help in the application process.

Eligibility Guidelines:

• Be age 18 or under
• Be living at home
• Require a level of care provided in a nursing facility as determined by Nevada Medicaid Office
• Meet all eligibility criteria of an institutional case except residing in an institution.
• The child(ren) must have a disability, but does not qualify for SSI
• The child(ren) must have a level of care that would be provided in a hospital, nursing facility or intermediate care facility for the mentally retarded
• A physician must validate it is appropriate for the child to receive necessary services in the home
• Costs for medical coverage cannot exceed the amount Medicaid would pay if the child were institutionalized (the established amount is dependent on the specific level of care).

Benefits covered:

If a child(ren) qualifies under Katie Beckett they will receive Medicaid coverage, which includes:

• Medically necessary hospital care (inpatient and outpatient)
• Physician care/services
• Most physician prescribed medications
• Vision and dental care
• Other services provided in the home which would normally be provided in a hospital, nursing facility, or intermediate care facility for the mentally retarded. (exclusions apply)

There is a monetary limit to the medical coverage cost reimbursed which must be no more than the amount Medicaid would pay if the child(ren) were institutionalized.

Applications for Katie Beckett

Apply at the local Welfare Office. Call 1-800-992-0900 or look on the Nevada Division of Welfare and Supportive Services webpage.

Non-Needy Caretaker Program - Grandparents raising grandchildren

This is a Medicaid program for Grandparents or other caretakers to obtain medical coverage for themselves and the children they are caring for.

The income for all individuals in the household related to the child(ren) is counted. There is a higher income limit of 275% of the Federal Poverty Level than with traditional Medicaid.

The regular Medicaid application is used to apply for the Non-Needy Caretaker program options. Applicant should check off “FMC” in the boxes on page 2 for themselves and the child(ren) in the household.

The eligibility worker should realize that the household is applying for a Non-Needy Caretaker Program. However, it is a good idea to write on the top of the first page of the application “Non-Needy Caretaker Program” to help the eligibility worker know what program to screen for.