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  • Fax Transmittal Sheet Nevada Medicaid And Nevada Check Up Substance Abuse/bh Fa11d Authorization

Get Fax Transmittal Sheet Nevada Medicaid And Nevada Check Up Substance Abuse/bh Fa11d Authorization

Fax Transmittal Sheet Nevada Medicaid and Nevada Check Up Substance Abuse/BH FA11D Authorization Request To: Hewlett Packard Enterprise NV MH Outpatient Program Fax Number: (866) 4809903 Phone Number:.

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

o English (pressed 1): If you are a recipient calling about Medicaid eligibility, Medicaid benefits or Managed Care HMO changes, please listen for the following options. For persons living in northern Nevada, please call (775) 687-1900. For southern Nevada, please call (702) 668-4200. To repeat, please press 9.

If you have questions about your benefits, call toll-free 1-800-962-8074, TTY 711.

Please contact Nevada Medicaid's fiscal agent at (877) 638-3472 for questions regarding enrollment applications, billing, claims, training, etc.

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.

Check the status of your benefits online at dwss.nv.gov.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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