Health Insurance
Flexibility & Accountability Waiver Program Termination Public
Notice
Nevada’s Health Insurance Flexibility and Accountability
(HIFA) §1115 Demonstration Waiver five year approval expires the
end of November 2011. This waiver program is authorized and
funded within Section 1115 (a) of the Children’s Health
Insurance Program (Title XXI of the Social Security Act).
Through this waiver Nevada has expanded eligibility to
individuals not otherwise eligible under the Nevada Medicaid and
CHIP programs.
The Nevada HIFA waiver program includes two eligibility
groups- Pregnant Women who do not qualify for Medicaid and whose
net annual income is above 133% and at or below 185% of the
federal poverty level (FPL). The second eligibility group is
individuals who qualify for insurance-premium subsidy payments
through the Employer Sponsored Insurance Premium Subsidy
program, called Nevada Check Up Plus. This program was designed
for parents, caretaker relatives, or legal guardians of Medicaid
or Nevada Check Up children, or other low-income parents,
caretaker relatives or legal guardians.
Due to Nevada not meeting the new regulations under the
Children’s Health Insurance Program Reauthorization Act (CHIPRA)
Section 111, State option to cover low-income pregnant women
under CHIP through a State plan amendment, and Section 112,
Phase-out of coverage for nonpregnant childless adults under
CHIP; conditions for coverage of parents, Nevada will not renew
its Health Insurance Flexibility and Accountability (HIFA)
waiver.
Individuals may be able to find assistance through Access to
Healthcare Network (AHN). AHN is for Nevadans who don’t have
healthcare insurance or other coverage. AHN works with an
extensive network of local doctors, hospitals and other
healthcare providers across Nevada to offer access to healthcare
services at greatly reduced rates to its members. For more
information about this program you can contact AHN at
1-877-385-2345 or
www.accesstohealthcare.org.
Another potential resource is Nevada’s 211 hotline which
maintains a list of programs and services available to
residents.
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