Nevada Medicaid Statistics

Enrollment

  • In December 2013, the Medicaid enrollment in Nevada was 331,000 individuals.

Costs Covered

  • Total Medicaid spending for Nevada in 2012 was almost $8 billion.
  • 36% of Medicaid spending for Nevada in 2011 went toward individuals with disabilities.
  • 13% of Medicaid spending for Nevada in 2011 went toward seniors over the age of 65.

CHIP

  • In October 2014, over a million children were enrolled in Nevada Medicaid.

Conditions

  • 60 percent of adult individuals in Nevada are overweight or obese.
  • Almost 10 percent of adult individuals in Nevada have asthma.

Medicaid Expansion

  • An estimated 174,000 Nebraska residents have access to Medicaid with the expansion.
  1. What is Medicaid?

Medicaid is the largest healthcare coverage program in the United States, providing medical insurance and services to almost 60 million individuals. Those who qualify must have low incomes, as well as meet other eligibility requirements. For example, individuals who are disabled, blind, pregnant, a parent of a dependent child or a senior over the age of 65 may be deemed eligible for the program.

Children under the age of 19 may qualify for the Children’s Health Insurance Program (CHIP), which is part of Medicaid. Individuals who are considered eligible can take advantage of various health benefits that include immunizations, doctor visits, vision examinations, dental care, prescription medications and medicine, hospital services and more.  CHIP dental services must cover the basics such as dental cleaning, teeth restoration and pain relief, as well as infections relief.

Since 2014, due to a provision in the Affordable Care Act, 28 states have expanded Medicaid coverage. With this expansion, more individuals will have access to medical care and a wide range of healthcare benefits offered by the program. Thankfully, Nevada is one of the states that has chosen to implement Medicaid expansion and reach thousands of other individuals who were previously uninsured.

  • How do I apply for Medicaid in Nevada?

You can begin your application process with the Nevada Department of Health and Human Services, which has partnered with Medicaid. Specifically, it is the Division of Welfare and Supportive Services (DWSS) that reviews each person’s potential eligibility. If you have questions pertaining to your particular case, you can reach them by calling their toll-free number at 1-877-543-7669. A customer service agent will be ready to assist you Monday to Friday, from 8 a.m. to 5 p.m.

You can also find out about your option to apply online by visiting the Nevada Department of Health and Human Services government website.  If you wish to visit a Medicaid office location, you will also be able to obtain their individual address information, as well as main contact phone numbers, on the site. A representative on site will even be available to explain in greater depth how to apply for Medicaid and the documents needed.

Should you wish to contact NV Medicaid by mail or in person, their address is as follows:

1100 East William Street
Suite 101
Carson City, NV 89701

If you complete a Medicaid application in person, make sure to gather all the necessary documents ahead of time. This may include proof of income, proof of current financial situation, proof of expenses, proof of identity, proof of immigration status or citizenship and proof of Social Security Number.

  • What does Nevada Medicaid cover?

Every state has a set of mandatory benefits as part of their Medicaid program, which provides healthcare coverage in various arenas. Individuals who are considered eligible may receive medical services and benefits that cover the following:  nursing facility services, outpatient hospital services, inpatient hospital services, laboratory testing, X-ray services, assistance for pregnant women to quit smoking, transportation to medical facilities and care, family nurse practitioner services, rural health clinic services, doctor visits, Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) and more.

The state of Nevada may also offer additional optional benefits to qualified NV Medicaid enrollees. Some of these benefits include private duty nursing services, personal care, podiatry services, speech services, hearing services, language disorder services, occupational therapy, physical therapy, prosthetics, chiropractic services and preventive services.

The Children’s Health Insurance Program (CHIP) also provides coverage to qualified children. As part of the program, children may take advantage of routine checkups, doctor visits, dental care, vision care and other essential medical services.

If you would like to know specific information about the benefits that are offered through a basic Medicaid plan versus a full Medicaid plan, call the Division of Welfare and Supportive Services at 1-877-543-7669. You can also browse through different topics on the official Medicaid government website.

  • Who is eligible for Medicaid in Nevada?

In order to qualify for Nevada Medicaid, there are a few eligibility requirements a person must meet. By speaking to a Medicaid customer service representative directly, they will be able to go through the steps with you and let you know whether or not you qualify for the program.

However, generally speaking, some of the eligibility requirements include one or more of the following:

  • You have low or very low income.
  • You are an individual with a disability.
  • You are a pregnant woman.
  • You are a parent of a dependent child or children.
  • You are a caretaker or guardian of a dependent child or children.
  • You are a senior who is 65 or older.
  • You are a blind individual.
  • You have a family member in your home with a disability.

Additionally, you must also be a resident in the state of Nevada and a United States citizen. If you are not a United States citizen, you may still be considered eligible if you are a legal permanent immigrant.

If you are an elderly individual who would like information about plans for seniors, you can contact the Nevada Division of Aging. Their Elder Care Help line is toll-free, simply call 1-800-307-4444.

Prior to applying for Medicaid in NV, keep in mind that you will need a number of documents to help you answer some of the questions on the form. In order to avoid any delay with the application process, separate the following documentation: proof of income, proof of current expenses, proof of identity, proof of age, proof of Social Security Number, proof of immigration status or United States citizenship, proof of pregnancy (if applicable) and proof of Nevada residency.

Review the 2015 Nevada Medicaid income requirements below:

  • 1 person = $11,770
  • 2 family members = $15,930
  • 3 family members = $20,090
  • 4 family members = $24,250
  • 5 family members = $28,410
  • 6 family members = $32,570
  • 7 family members = $36,730
  • 8 family members = $40,890
  • Add $4,160 for each additional person for families with more than eight family members.
  • What is the Medicaid expansion? Did my state accept the Medicaid expansion?

Thanks to the Affordable Care Act, Medicaid has been expanded to a total of 28 states across the country. This type of expansion has allowed millions of Americans – who were previously uninsured – to now gain access to the program. Best of all, Nevada is one of the states that has expanded Medicaid, and as a result, approximately 174,000 residents are newly eligible for one of the healthcare plans.

Other states that have gotten on board and expanded Medicaid coverage include North Dakota, New York, California, Arkansas, Massachusetts, Vermont, West Virginia, Connecticut, Rhode Island, New Jersey, New Mexico, Kentucky, Colorado, Arizona, Pennsylvania, Iowa, Hawaii, Oregon, Illinois and a few more. The District of Columbia is also included in the list.

In terms of funds, the federal government has been covering all Medicaid expansion-related costs since 2014. This pattern is expected to remain the same until 2016. Thereafter, the federal government will start covering 90 percent of the costs, and state governments will be responsible for the remaining 10 percent.

Should you have any questions about Medicaid expansion and whether or not it affects you or your family, contact your local Medicaid office to review your eligibility status.

  • How do I contact Nevada Medicaid?

You can contact Nevada Medicaid in a multitude of ways, depending on which one you prefer and is most convenient for you. To start with, you can browse through the Nevada Department of Health and Human Services, Division of Welfare and Supportive Services website. There, you will be able to apply for medical benefits and assistance, as well as review your plan. You can reach their main Medicaid phone number by calling 1-800-992-0900. If you are a local resident, you can call their 702-631-7098 line instead.

If you would like to reach the Medicaid office location, their address is as follows:

Nevada Department of Health and Human Services,
Division of Welfare and Supportive Services
1100 East William Street
Suite 101
Carson City, NV 89701

To speak to a customer service agent at the Las Vegas Medicaid District Office, call their main line at 702-668-4200. If you reside in Carson City, you can reach the office there by calling 775-684-3676. If you have a question or comment, you can also fill out a feedback form with your query on the NDHHS website. Make sure to select the checkbox that indicates you are in need of an immediate response if you need clarification about a pressing matter.

Close Bitnami banner
Bitnami