How to Get Nevada Medicaid Benefits? 2024

We have scoured the internet to provide you with all you need to know about the Nevada Medicaid Benefits.

Medicaid is a joint federal-state initiative that covers health insurance for low-income people who qualify, including children, pregnant women, the elderly, and people with disabilities. It is simple to apply for Medicaid in person, over the phone, or online.

This post will teach you all you need to learn about Medicaid in Nevada.

Table of Contents

What is the Nevada Medicaid Program?

Medicaid is a service for people and families with income and resources within specific parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.

Who is eligible for the Nevada Medicaid Program?

Nevada Medicaid offers limited Medicare beneficiaries who are not eligible for the entire Medicaid benefit package some partial financial help with Medicare premiums, copayments, or coinsurance through the Medicare Savings Plan.

Expectant mothers
People who are blind or disabled or who have a spouse who is blind or disabled;
People whom someone adopts;
People whom someone adopted;
People who are blind or disabled or have a spouse who is disabled.

The Annual Household Income Limits (before taxes)

Household Size*	The Maximum Income Level (Per Year)
1	$18,075
2	$24,353
3	$30,630
4	$36,908
5	$43,186
6	$49,463
7	$55,741
8	$62,018

*For households with more than eight people, add $6,277 per additional person.

How can you contact Medicaid in Nevada?

Phone

1-800-307-4444.

Mailing Address

1100 East William Street, Suite 101

Carson City, NV 89701

Fax: (775) 687-3893

What are the Medicaid plans in Nevada?

Nevada has been running a required managed care scheme in two counties in the state (Clark and Washoe Counties) since 1998.

Nevada Mandatory Health Maintenance Program

American Indians, children suffering from severe mental disturbances, and children with special needs can voluntarily enroll. It covers acute, primary, specialist, and behavioral medicine services for families, children, pregnant women, and low-income individuals.

Non-emergency transportation program

Since 2006, Nevada has also run a required fee for service non-emergency transportation program that is open to all participants who qualify for Medicaid.

The Nevada Comprehensive Care Waiver (NCCW)

For a subgroup of high-cost, high-need clients not covered by the Mandatory Health Maintenance Program, the NCCW conducts mandatory care management across the state.

Qualified people for NCCW will get payments in a fee-for-service setting with required care management to support better care quality.

How can you apply for Nevada Medicaid?

Call 1-800-307-4444 to enroll.

Apply in person: Division of Medicaid Services, Nevada Department of Health & Human Services

Online: Download and print the application.

Mail: To 1100 East William Street, Suite 101, Carson City, NV 89701

What is covered by Nevada Medicaid?

Nevada Medicaid covers the following services:

Ambulatory surgery	Hospital stays
Audiology services	Laboratory tests
Behavioral health services	Vision care
Women’s health care	Non-emergency transportation
Dialysis	Orthotic and prosthetic devices
Doctor visits	Occupational therapy
Smoking cessation services	Pharmacy (medications)
Emergency care	Physical rehabilitation
Family planning services	Preventive care
Hearing aids	Hospital outpatient care
Home health care	X-rays and other radiology services

Can I have both Nevada Medicaid and Medicare?

For people who qualify for both Medicare and Medicaid coverage, a Dual Eligible Special Needs Plan (D-SNP) is an elective program offered by Medicare Advantage plans. To provide better care more affordably, this strategy will coordinate services across Medicare and Medicaid.

Nevada Waiver

The following are the waivers of Nevada:

HCBW for people with physical disabilities
Assisted living
Frail elderly

Copayments?

They do not have to pay a copayment. When a member is

under 21 years old;
pregnant;
Held by the state
Placed under government supervision
Native American participants who qualify for Contract Health funding
Services or Tribal Union of Indian Health Services
The hospital (inpatient)
A facility for skilled nursing
A nursing home

What is not covered by Nevada Medicaid?

Nevada Medicaid is not mandated to offer coverage for in-home caregiving services or private nursing. Bandages, adult diapers, and other disposable items are frequently excluded from insurance coverage, as are cosmetic surgery and other elective procedures.

What is the highest income limit for Nevada Medicaid?

For instance, in 2022, a single adult will pay $13,590, a family of four $27,750, and an eight-person family $46,630.

What if a person’s income is too high to qualify for regular Medicaid benefits?

If your income is too high, you may still be eligible for Nevada Medicaid, thanks to the asset spend down option. Paying down your surplus assets on non-countable ones will allow you to qualify.

What documents do I need to apply for Medicaid?

The following documents are required with the application:

The Social Security Number;
Evidence of citizenship or authorized residency in the United States, such as a passport, driver’s license, birth certificate, green card, or job authorization card
Evidence of all income sources, both legal and illegal
Proof of origin
Proof of residency
Including the Medicare card, any insurance cards
Pregnancy (doctors’ certification of the pregnancy and, if applicable, the expected delivery date);
When non-parents apply for Medicaid on their behalf, they must provide proof of their financial position.

What is the best Medicaid in Nevada?

The best plan for you is the one that meets your demands and offers the most benefits in terms of health insurance and monetary help because it varies from person to person.

Where do I find the letter showing the reason(s) for denial or discontinuance from Nevada Medicaid?

By signing into your account at Portal, you can see the progress of your Nevada Medicaid application.