Nevada reviews the prior 60 months — five years — of a Medicaid applicant's financial history when someone applies for Nursing Home Medicaid or an HCBS waiver. This isn't a special add-on rule; it's built into the state plan, which spells out the consequence directly: Nevada can withhold payment for nursing-facility services, nursing-facility-level care provided in a medical institution, or HCBS waiver services for a period of time if a disqualifying transfer occurred.
It's worth being clear about what actually triggers scrutiny here. Nevada isn't only looking for transactions that were labeled as gifts — the real test is whether an asset changed hands for less than its fair market value. That makes details like the transaction date, what ownership interest was actually transferred, the appraised value, and any documentation of payment received all matter a great deal, along with whether an exception applies. One more nuance from the state plan: a penalty period doesn't start the moment a disqualifying transfer happened. Under Nevada's specific timing rule, the clock only starts once the person would otherwise be eligible and is already receiving the relevant institutional-level services, subject to the policy's other conditions.
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