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  • Nevada Check Up Providers Form

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3 DATE SUBMITTED TO FHSC: INITIAL/NEW CONTINUING SERVICES REQUEST TYPE: MAIL: 4300 Cox Road, Glen Allen, VA 23060 INTERIM (During Current Authorization) RETRO-ELIGIBILITY PROVIDER INFORMATION: Name: Provider Number: Phone: Fax: Address: City: , NV Zip:.

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Nevada Check Up is a program designed for children who do not qualify for Medicaid but whose incomes are at or below 200% of the Federal Poverty Level (FPL). Participants in the Nevada Check Up program are charged a quarterly premium based on income. Nevada Medicaid is often confused with Medicare.

In Nevada, children living in households with an annual income of up to 200% of the federal poverty level may qualify for coverage through Nevada Check Up. This is $50,200 for a family of four.

Medicaid provides free or low-cost health coverage to eligible needy persons.

Quarterly Nevada Check Up premiums are either $25, $50, or $80 based on gross income and are charged per family (not per child). Quarterly premiums are due in January, April, July, and October and may be prorated based on eligibility determination date.

So if their income is low enough or they have no money the services are free to Las Vegas families, including immigrants, adults, as well as children. This can include checkups, free prescription medications, primary care for your family, and dental cleanings.

The Nevada Check Up program does not require the participants to pay co-payments for any services provided. The program does, however, charge quarterly premiums to the family. The premium is determined by family size and income.

If you have any questions, please contact the Provider Enrollment Unit at (877) 638-3472 from 8a. m. to 5p. m.

Nevada Check Up is a program designed for children who do not qualify for Medicaid but whose incomes are at or below 200% of the Federal Poverty Level (FPL). Participants in the Nevada Check Up program are charged a quarterly premium based on income.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232