Nevada Administrative Code › Chapter 439 - Administration of Public Health › SENIOR PRESCRIPTION PROGRAM › Application and Eligibility › Section 439.830 - Order of priority if there is insufficient money available; qualifying hardship; granting of subsidy to applicant on waiting list if sufficient money becomes available

Current through June 11, 2024
1. Except as
				otherwise provided in subsections 2, 3 and 4, if there is insufficient money
				available for each applicant from the amount allocated for subsidies by the
				Department, the Department will rank the applicants whose applications are
				approved based on their household income. The applicant with the lowest
				household income will receive priority over the other applicants. If the
				household income of two applicants is exactly the same amount, the applicant
				whose application was received earlier by the Department will receive priority
				over the other applicant.
2. If an
				applicant documents a medical condition that will deteriorate rapidly if
				prescribed medications are not taken, the applicant will receive priority over
				other applicants on the waiting list, regardless of income level. If two
				applicants document such emergent medical conditions, the applicant whose
				application was received earlier by the Department will receive priority over
				the other applicant.
3. If the
				Department determines that an applicant whose income exceeds the established
				limits has a qualifying financial hardship, the applicant will be ranked on the
				priority list at his or her adjusted income level, which is the applicant's
				actual income minus medical costs or the cost of another qualifying
				hardship.
4. If the Department
				determines that an applicant has a qualifying hardship, the applicant will
				receive priority over the other applicants. If two or more applicants have
				qualifying hardships, the Department will determine the order of priority as
				between each of those applicants based on the needs of each
				applicant.
5. If, at any time, the
				Department determines that there is sufficient money available from the amount
				allocated for subsidies by the Department for more applicants, the Department
				may grant a subsidy to an applicant on the waiting list in the order of
				priority described in this section. If the Department grants a subsidy pursuant
				to this subsection, the Department will provide written notice to the applicant
				in the manner set forth in NAC 439.828.
6. For the purposes of this section, an
				applicant shall be deemed to have a qualifying hardship if the applicant
				submits to the Department:
(a) Documentation
				satisfactory to the Department that verifies that the monthly cost of
				prescription drugs, pharmaceutical services or out-of-pocket medical expenses,
				or any combination thereof, for the applicant's household is causing a
				hardship;
(b) A written statement
				signed by a licensed physician certifying that, because of the applicant's need
				for a prescription drug or pharmaceutical service, the failure of the applicant
				to take the prescription drug will place the life of the applicant in imminent
				danger; or
(c) Documentation
				satisfactory to the Department that verifies any other hardship of the
				applicant that the Department determines is a qualifying hardship.