4-004.02A Medicaid Effective Date of a Pregnant Woman

The Medicaid effective date for an otherwise eligible pregnant woman can be determined up to three months before the request for Medicaid, as long as the pregnancy is medically verified to have existed at the beginning of this retroactive period.

If the physician or licensed medical professional verifies that the woman was pregnant during one or more of the three months before the month of request, application for retroactive Medicaid eligibility may be approved for the month(s) in which all other criteria were met and medical expenses were incurred. The worker shall determine eligibility for each month individually.

See 468 NAC 2-004.02 for the requirement for an SSN for a newborn.