4-001.01 Retroactive Eligibility

477 NAC 4-001.01

Retroactive eligibility is effective if the following conditions are met:

1. Eligibility is determined and a budget computed separately for each of the three months;
2. A medical need exists; and
3. Elements of eligibility were met at some time during each month.

An applicant may be eligible for the retroactive period (or any single month(s) of the retroactive period) even though ineligible for the prospective period. Six months continuous eligibility may begin in a retroactive month; in that case, no further budgets are required.

Note: 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 existed at the beginning of this retroactive period.

{01/2014}