Department of Health and Human Services Streamline Eligibility - - PowerPoint PPT Presentation

Department of Health and Human Services

State of Nevada

Steve Sisolak Governor Richard Whitley Director

Helping people. It’s who we are and what we do.

Aging and Disability Services Division

Shannon Sprout, Health Program Manager III

1/8/2020

Streamline Eligibility Proposal

Steve Sisolak, Governor Richard Whitely, Director The Great Seal of the State of Nevada State of Nevada Department of Health and Human Services Streamline Eligibility Proposal

Agenda Agenda

• 1. Overview
• 2. Program Eligibility Crosswalk
• 3. Propose Revisions to Streamline Eligibility
• 4. Challenges and Opportunities
• 5. Questions/Feedback

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Overview

Evaluate opportunities to streamline policies and regulations to assist beneficiaries in accessing an array of services/programs operated by Aging and Disability Services Division (ADSD).

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Program Eligibility Crosswalk

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Program Income Threshold Eligibility Components Pharmaceutical Assistance Program (SRx/DRx) NRS 439 NAC 439

• HH 1 < $29,869
• HH 2 < $39,816
• Adjusted Gross Income (AGI)
• Using 2002 Consumer Price Index

(CPI) with annual percentage increase

• 12 months of income

NRS 439.665 NRS 439.745 Community Options Program for the Elderly (COPE) NRS 427A.250

• 300% of SSI Federal

Benefit Amount

• HH 1 $27,756
• HH 2 (NA)
• HH 1 assets < $10,000
• HH 2 assets < $30,000
• DWSS institutional guidelines
• Gross income, monthly

NAC 427A.365 Homemaker* NRS 427A.250

• < 110% of FPL
• HH 1 $13,739
• HH 2 $18,601
• HH 1 assets < $10,000
• HH 2 assets < $30,000
• Gross income, monthly

Not Defined Taxi Assistance Program (TAP)

• < 400% FPL (program

currently has funding to serve 300% FPL)

• Gross income, annual

Proposed Revisions to Streamline Eligibility

Align Criteria:

• Federal Poverty Level (FPL) to 300%
• Gross income
• Household composition definition

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Benefits and Risks

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Challenges Opportunities

Questions?

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Contact Information Contact Information

Shannon Sprout

Health Program Manager III

srsprout@adsd.nv.gov 775-687-0561 www.adsd.nv.gov

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Acronyms Acronyms

ADSD – Aging and Disability Services Division HH - Household AGI - Adjusted Gross Income NAC – Nevada Administrative Code COPE – Community Options Program for the Elderly NRS – Nevada Revised Statute CPI – Consumer Price Index SRx/DRx – Senior and Disability Prescription Drug Program DWSS – Division of Welfare and Supportive Services SSI – Social Security Income FPL – Federal Poverty Level TAP – Taxi Assistance Program

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