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.