Nevada recovers correctly paid Medicaid benefits from the undivided estate of a recipient who was 55 or older when the benefits were received, or who was an inpatient of a medical facility who could not be expected to return home. The Medicaid Estate Recovery (MER) program is run by the Office of the Medicaid Inspector General within the Nevada Health Authority.
Administering agency
Nevada Health Authority — Office of the Medicaid Inspector General (Medicaid Estate Recovery)
Authority
NRS 422.29302; NRS 422.054
Governing law: NRS 422.29302; NRS 422.054
No. Medicaid payments subject to recovery include home and community based services, nursing facility services, hospital, physician and prescription drug services, Managed Care Organization premiums, and any other payments made by the Medicaid program. Repayment applies to recipients who were 55 or older, and to inpatients of a medical facility who could not be expected to return home.
Under NRS 422.29302, Nevada cannot recover while there is a surviving spouse, a surviving child under 21, or a blind or disabled child of any age. Certain income, property and resources of American Indians and Alaska Natives are also exempt. Medicaid may place a lien on the property during that time instead.
Any beneficiary, heir or family member may apply for a hardship waiver at the time of recovery. Medicaid Estate Recovery sends the "Request for Hardship Waiver of Correctly Paid Medicaid Benefits" along with the undue-hardship criteria, and the completed request must be submitted within 30 days from the date the hardship papers are mailed. Nevada defines hardship as undue and substantial hardship resulting in severe financial distress or a significant compromise to health care or shelter needs.
When someone dies
4-step process for Nevada Health Authority — Office of the Medicaid Inspector General (Medicaid Estate Recovery).
View details →Data sourced from Medicaid Estate Recovery in Nevada primary sources (4 pages reviewed). How we research.
Administering agency
Nevada Health Authority — Office of the Medicaid Inspector General (Medicaid Estate Recovery)
Authority
NRS 422.29302; NRS 422.054