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Medicaid Maternity Care


Nevada Medicaid and Nevada Check Up cover services for pregnant women throughout the duration of their pregnancy, delivery, and after giving birth. If you meet the income requirements of 133 percent of the Federal Poverty Level, you are eligible to receive coverage for all necessary services while pregnant. Medicaid will cover visits to an OB/GYN physician or use of a Certified Nurse Midwife in addition to these services:

  • Prenatal visits, lab work, and tests including ultrasounds
  • Labor and delivery charges
  • Anesthesia
  • Hospitalization
  • 6-week checkup after the baby is born

Women who have a natural birth are permitted a 48-hour hospital stay, and those who have received a C-section may stay for 96 hours following birth. If you have discussed a shorter stay with your doctor and get approval to leave the hospital early, you may do so.

 

Coverage for Your Baby

In order to ensure your child is covered by Nevada Medicaid, contact your Division of Welfare and Supportive Services case worker as soon as possible to inform them of your baby’s birth. Most babies will be covered for their first year of life through Medicaid if their mother was eligible for the program at the time of birth.

If you are covered by Nevada Check Up, you must notify the state of your pregnancy prior to giving birth, and report the baby has been born within 14 days of delivery in order for your baby to receive coverage from their birth date. If the mother has temporary coverage for the newborn and they have been approved for Nevada Check Up, their benefits will start the first day of the next administrative month. Newborns cannot receive coverage preceding any other family member’s earliest current enrollment.

Nevada Check Up provides continuous access to medical care for children as long as the income levels are maintained each year when reevaluated, premium payments are up to date, and other qualifications are still met.

 

Income Guidelines

Pregnant women and their newborns must have an income less than or equal to 133 percent of the Federal Poverty Level in order to receive Nevada Medicaid and cover their maternity care. Women who are pregnant are considered a family of two when factoring in eligibility for income purposes. Spouses and other children should also be included when considering the total household earnings and family size.

 

Family of 2: $1,639 monthly, $19,699 yearly

Family of 3: $2,068 monthly, $24,817 yearly

Family of 4: $2,497 monthly, $29,965 yearly

Family of 5: $2,994 monthly, $35,923 yearly

 

Pregnant women whose income is between 133 and 200 percent of the Federal Poverty Level may be eligible for Nevada Check Up throughout their pregnancy. This will provide the same access to care from Medicaid providers, even with a slightly higher income.

 

Family of 2: $2,522 monthly, $30,260 yearly

Family of 3: $3,182 monthly, $38,180 yearly

Family of 4: $3,842 monthly, $46,100 yearly

Family of 5: $4,501 monthly, $54,020 yearly

 

Apply for Nevada Medicaid

Contact Nevada Medicaid for more information:

1100 East William Street, Ste 100

Carson City, NV 89701

(775) 684-3676

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