Nevada Model Electronic Data Interchange Trading Partner Agreement
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How to fill out Model Electronic Data Interchange Trading Partner Agreement?
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FAQ
The companion guide is intended to assist trading partners in implementing electronic 270/271 transactions that meet Nevada Medicaid processing standards by identifying pertinent structural and data-related requirements and recommendations.
Medicaid dental and medical services for recipients living in urban Clark and Washoe counties are delivered by Managed Care Organizations (MCOs).
If you need to change your assigned MCO, complete the Nevada Medicaid And Nevada Check Up Managed Care Program Special MCO Assignment Change form. Return the form to Nevada Medicaid, Attn: MCO Changes, P.O. Box 30042, Reno, NV 89520.
If recipients wish to switch to another MCO they may send the completed request which includes HOH name and Medicaid ID to: Nevada Medicaid Attn: MCO Changes P.O. Box 30042, Reno NV 89520.
You can change your plan anytime during the Open Enrollment Period. After the Open Enrollment Period is over, you must have a Qualifying Life Event (QLE) in order to qualify for the Special Enrollment Period.
1. Log into your Nevada Health Link account and click My Enrollments in the left-hand navigation. 2. Scroll down to the appropriate plan and click Cancel Coverage.
Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.
Paper claims are no longer accepted by Nevada Medicaid.