18-001.02C Qualified Provider Responsibilities

477 NAC 18-001.02C

The qualified provider makes a presumptive determination of the woman's eligibility based only on declared income and citizenship/eligible alien status.

1. Income of the woman and spouse (if he is in the home) or the responsible parent(s) of a pregnant minor is counted.
2. The provider does not investigate other eligibility requirements.
3. The provider must forward the application form, along with the attestation form if applicable to the Department within five (5) working days after the determination of presumptive eligibility.

{01/2014}