Nevada


Eligibility1

Children's
Medicaid2
Separate
Children's
CHIP2
Pregnant
Women3
Parents4
0-5: 133%

6-19: 100%
200%
185%
25%


ICHIA Option5

Children
Pregnant
Women
No
No


Waiting Period

Waiting
Period
Length
Yes
6 Months


Enrollment Procedures for Children6

Program
Type7
Joint Application
Face-to-Face Interview
Asset Test8
Paper Documentation of
Income Not Requested9
S-CHIP
No
Yes
No
No


Enrollment Processes for Children6

Presumptive Eligibility
Express Lane Eligibility10 SSA Data Match to
Verify Citizenship11
No
No
CHIP Only


Use of Online Application Forms in Medicaid and CHIP12

Application Available
Online
Application Form
Submitted Electronically
Electronic Signature
Paper Documentation of
Income Not Requested9
Yes
Yes
Yes
No


Renewal Procedures for Children6

Frequency of Renewal
(in months)
12-month
Continuous Eligibility
Face-to-Face Interview
Paper Documentation of Income
Not Requested9 
12
CHIP Only
No
Medicaid Only


Renewal Methods for Children6

Joint Renewal Form Administrative Renewal13
 Telephone Renewal Online Renewal Express Lane10
No
No
No
No
No


Enrollment Procedures for Parents14

Simplified Family
Application15
Face-to-Face Interview Asset Test8 SSA Data Match to
Verify Citizenship11
Paper Documentation of
Income Not Requested9
No
No
$2,000
No
No


Renewal Procedures for Parents14

Frequency of Renewal
(in months)
Face-to-Face Interview
Paper Documentation of
Income Not Requested9
12
No
Yes


Enrollment Procedures for Pregnant Women

Presumptive
Eligibility
Asset Test16
No
No


Premium, Enrollment Fee, and Copayment Requirements for Children

Premium/Enrollment
Fee Required17
Begin at
(of the FPL)
Copayments
Required
Begin at
(of the FPL)
Yes
36%
No
N/A



Source: M. Heberlein, et al., "Holding Steady, Looking Ahead," Kaiser Commission on Medicaid and the Uninsured, (January 2011); updated by the Center for Children and Families. Data as of January 1, 2011.

Notes:
1: Income eligibility levels noted are expressed as a percentage of the Federal Poverty Level (FPL), without regard to income disregards or deductions.
2: Income eligibility levels for children's Medicaid includes CHIP-funded Medicaid expansions; separate CHIP programs are shown under children's CHIP.
3: Pregnant women's income eligibility levels are shown for regular Medicaid, CHIP, and through the unborn child option.
4: Parents' income eligibility levels are shown for parents without earned incomes (i.e., does not reflect earnings disregards used to determine income eligibility for working parents) applying for comprehensive Medicaid coverage based on a family size of three. Note that several states, including Nevada, have established coverage for parents through waivers, however this coverage generally offers fewer benefits, higher cost-sharing, or is limited to premium assistance for employer-sponsored coverage.
5: The "ICHIA" option in CHIPRA allows states to use federal funds to cover lawfully residing immigrant children and pregnant women in Medicaid/CHIP without imposing a five-year waiting period. This indicates whether the state has received approval of a State Plan Amendment to adopt this option.
6: Information applies to both Medicaid and CHIP, if applicable, unless otherwise noted.
7: States can use their Title XXI (CHIP) funds to expand Medicaid (M-CHIP), cover children through a separate program (S-CHIP), or combine the two approaches (COMBO). Arkansas, Minnesota, Oklahoma, Rhode Island, and Wisconsin have separate CHIP programs for their coverage of pregnant women using the unborn child option. Connecticut, Florida, Illinois, Maine, Minnesota, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Tennessee, and Wisconsin allow families with incomes above the levels shown buy into Medicaid/CHIP.
8: Asset limits noted are for a family of three.
9: In states that do not require families to provide documentation of income at application, states generally verify this information through data matches with other government agencies, such as the Social Security Administration and state departments of labor. Often, families in states with administrative verification have to provide documentation of income if self-employed, if income is questionable, or if the state is unable to administratively verify the information. Some states request paper documentation of income at application, but if the family does not submit the documentation with the application, the state will attempt to administratively verify the information before following up with the family. States that verify income administratively, but continue to ask for income documentation on their applications are not counted as streamlining their procedures. This is different than how it has been defined in the past. Families in Nevada (Medicaid only) are not required to provide documentation if income has not changed.
10: The new Express Lane Eligibility option allows states to use data and eligibility findings from other public benefit programs when determining children’s eligibility for Medicaid and CHIP at enrollment or renewal.  States are designated as using Express Lane Eligibility if they have implemented an initiative and have an approved State Plan Amendment from CMS.
11: This CHIPRA option became newly available in 2010 and allows states to conduct data matches with the Social Security Administration to verify citizenship.
12: Unless specified otherwise, the Medicaid online application and electronic submission, electronic signature, and documentation rules apply to both children and parents.  Waiver or state-funded coverage for parents may have different policies.
13: A state is classified as providing administrative renewal if it sends a pre-populated form with all eligibility information available or a renewal letter to the family in advance of the renewal date. The family is required to either sign and return the form, signaling that they wish to continue coverage, or do nothing. States that send a pre-populated form, but require families to submit paper documentation to continue coverage do not qualify has having implemented administrative renewals.
14: Data represents policies for parents covered through 1931 Medicaid coverage; some states have differing policies for parents and other non-disabled adults covered through waiver or state-funded coverage programs.
15: States are classified as providing a simplified family application if parents can apply for coverage without having to complete a separate application or additional forms. In some states a longer form must be used to apply for family coverage while a shorter, simpler form is available for children's coverage; these states are not classified as offering a simplified family application.
16: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.
17: In Nevada, although Medicaid covers children in families with income up to 100% or 133% of the FPL, some children with lower incomes may qualify for CHIP depending on the source of income and family composition. Such families with incomes at or above 36% of the FPL are required to pay premiums.