Eligibility for Medicaid in Nevada

You may be wondering what are the requirements for Medicaid in Nevada, so you can decide whether Medicaid insurance will be a viable option for you. You must know what are the income requirements for Medicaid amongst other things in order to apply for the government program. Who is eligible for Medicaid in Nevada may be different from who is eligible in other states, as the federal health care program has state-specific requirements. It is important to look up the specific qualifications for the state where you are applying. The Medicaid eligibility requirements in regard to income also differ from applicant to applicant depending on personal situations. You can also lose eligibility if certain circumstances change over time. If you would like to know more about how to qualify for Medicaid in Nevada including the income, home, residency and citizenship requirements that you must meet in order to receive Medicaid, refer to the sections below.

How to Qualify for Medicaid in Nevada

Before finding out the Medicaid benefits eligibility requirements, you must first know what Medicaid is. Knowing this information about Medicaid will help you learn how to qualify for Medicaid and complete the application process in the easiest manner possible. Medicaid is the public health insurance program that is available to assist you if you have a low-income or high medical need. Currently, it is the largest source of health care in the United States. In Nevada alone, Medicaid insures over 600,000 residents. You must meet the Medicaid benefits eligibility requirements in Nevada in order to use this service. The program is given out through individual states and follows federal requirements. States and the federal government both work together to fund the program.

Before the passing of the Patient Protection and Affordable Care Act (PPACA), Medicaid eligibility was only determined through federal law to certain people. You must have categorized as a certain Medicaid benefits eligibility group to enroll in the program and receive coverage. Medicaid eligibility groups included residents with low-incomes, children, pregnant women, parents with dependent children, people with disabilities and certain Medicare beneficiaries. You were not eligible for Medicaid in Nevada if you did not fall into any of those categories and you could not receive health care in this manner. If you did fall into one of these categories, then you still had to meet the mandatory minimum Medicaid benefits eligibility income threshold to qualify for Medicaid in the state of Nevada.

The Patient Protection Affordable Care Act widened Medicaid eligibility to include several more groups of people who were not elderly or children but still needed insurance coverage. However, the Supreme Court ruled in 2012 that the Medicaid benefits eligibility expansion was optional. Nevada decided to extend Medicaid coverage and benefits, and the expansion became effective on January 1, 2014. Now, in order to meet the requirements for Medicaid eligibility in Nevada, you do not have to fall into the aforementioned categories. Medicaid now covers almost all adults who are younger than 65 years of age and have an income that is below a specified percentage of the federal poverty level. Download our comprehensive Medicaid guide for more details about the national requirements to enroll.

Who is eligible for Medicaid in Nevada?

You must know what are the requirements for Medicaid enrollment before applying to receive benefits through the program. Currently, the Medicaid benefits requirements in Nevada are no longer separated into the two categories that they formally were. Previously, Medicaid benefits eligibility requirements were split into Temporary Assistance for Needy Families (TANF)-related Medicaid and Child Health Insurance Program (CHIP)-related Medicaid. Now, the assistance provided through Medicaid is combined to make one program. This program includes the Nevada Check-Up program as well. Information on Medicaid application forms will determine which group you qualify under and what your income threshold is.

People eligible for Medicaid still fall into certain groups. The first Medicaid eligibility group is family medical groups, which covers individuals and families as well as children through Medicaid and Nevada Check-Up. This group covers both children and adults who are between 19 and 64 years of age. The Medicaid eligibility requirements for this group are determined by using a modified adjusted gross income method. To be eligible for Medicaid benefits as a part of this group, your income must also be less than a certain percentage of the Federal Poverty Level (FPL). Pregnant women are also covered in this Medicaid eligibility grouping if they meet the income requirement. To meet the Medicaid benefits eligibility income requirement, your income must be less than a certain percent of the Federal Poverty Level. Children who are younger than 19 years of age are also covered in this group for medical and dental benefits. If you are a child applying for benefits, then your household income must be a certain percentage of the FPL or under.

The second Medicaid benefits eligibility group is called specialized medical groups. It covers people who are in specific categories such as the Aged-Out of Foster Care, the Rite of Passage and the Breast and Cervical Cancer groups. This Medicaid benefits eligibility group may have exemptions from the income and resource requirements in certain cases.

If you meet the Medicaid benefits eligibility requirements for either one of the aforementioned groups, then you may be eligible for assistance through Medicaid. However, if you are part of one of those Medicaid benefits eligibility groups but your monthly income does not fall into the correct range, then that could affect your eligibility. You will need to complete the Medicaid application process in Nevada to verify your eligibility.

What are the income eligibility requirements for Medicaid in Nevada?

You may be wondering what are the income eligibility requirements for Medicaid in Nevada if you fall into one of the aforementioned categories. The Medicaid benefits income eligibility requirements differ depending on which group you fall into. The Medicaid income requirements for Nevada Medicaid Monthly differ for those who fall in the pregnant women category as well as the Nevada Check-Up Monthly category. The income requirements also depend on your family size. Income will also influence your Medicaid coverage costs in Nevada.

What are the Medicaid application guidelines in Nevada?

You must know what are the Medicaid application guidelines in Nevada in order to meet the Medicaid eligibility requirements and receive insurance. You can fill out the application online or by mail. The information on the application must be filled out completely in order to meet the eligibility requirements. A partially completed application could result in you not receiving your insurance benefits. Learn more about applying for the program by downloading our detailed Medicaid guide here.