Who is eligible
The aged, blind, and disabled. Also, coverage is available if your household income is up to 138% of poverty (about $16,105 for a single person). For pregnant women, income can be up to 160%, and children are eligible for CHIP with household income up to 200% of poverty.
- healthinsurance.org contributor
- September 26, 2016
Nevada expanded Medicaid in 2014 under the guidelines laid out in the ACA. As a result, there are 266,000 newly-eligible Nevada residents, most of them childless adults who are working but whose employers do not offer health insurance coverage.
Sharp increase in Nevada Medicaid enrollment
From the fall of 2013 through June 2015, total net enrollment in Nevada’s Medicaid program increased by 69 percent. This is a much higher percentage increase than most states, and is second only to Kentucky, where Medicaid enrollment has increased by 84 percent. Although people gain and lose eligibility for Medicaid throughout the year based on changing circumstances, the total Nevada medicaid enrollment in mid-2015 included an additional 230,924 people compared with late 2013.
Because Medicaid enrollment has increased so significantly in Nevada, there have been some concerns that newly-insured patients are finding it difficult to get timely appointments with healthcare providers.
Nevada’s uninsured rate also fell by 24 percent from 2013 to the first half of 2015, going from 20 percent to 15.2 percent. The expanded access to Medicaid played a significant role in decreasing the uninsured population.
In addition to the newly-eligible population, enrollment has been growing among people who were already eligible for Medicaid but had not enrolled prior to the start of the 2014 open enrollment (open enrollment only applies to private plans; Medicaid enrollment is year-round, but the publicity surrounding it has encouraged many Medicaid-eligible residents to seek coverage).
In 2012, roughly 88 percent of eligible children nationwide were enrolled in Medicaid or CHIP. In Nevada, that number was only 70.6 percent – among the lowest in the nation. But the expansion of Medicaid and the publicity surrounding the ACA has helped to bump up Nevada’s total Medicaid enrollment by more than two-thirds in just a year and a half.
Am I eligible?
As of 2015, Medicaid in Nevada is available to the following legally-present residents:
- Adults with household income up to 133 percent of poverty (really 138 percent with the 5 percent income disregard).
- Pregnant women with household income up to 160 percent of poverty.
- Children, depending on age, with household income up to 133 percent or 160 percent of poverty; all children are eligible for CHIP with income up to 200 percent of poverty.
How do I enroll?
- You can enroll online through HealthCare.gov. Or you can enroll online through Access Nevada (run by the Nevada Department of Health and Human Services) If you have an existing Access Nevada account that you created before November 10, 2014, you’ll need to go back to the site and create a new account with a new username and password.
- You can contact the Nevada Division of Welfare and Supportive Services at 1-800-992-0900 if you have questions (they make Medicaid eligibility determinations).
First Republican governor to accept Medicaid expansion
Nevada’s Governor Brian Sandoval announced in December 2012 that the state would expand Medicaid starting in 2014. Sandoval was the first Republican Governor to commit to expanding Medicaid. Originally, this was an integral part of the ACA, but the Supreme Court ruled in 2012 that expansion was optional, and 20 states have not moved forward with Medicaid expansion as of September 2015.
Sandoval cited the fact that the federal government would be paying the vast majority of the costs as a primary motivator for expanding coverage, and noted that although he’s generally opposed to the ACA, he believes Medicaid expansion is the correct path.