Form 83631 Certification of Governmental Entity Participation - Medicaid Supplemental Payment Program - Nevada

What Is Form 83631?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 83631?
A: Form 83631 is a certification form for governmental entity participation in the Medicaid Supplemental Payment Program in Nevada.

Q: What is the Medicaid Supplemental Payment Program?
A: The Medicaid Supplemental Payment Program is a program that provides additional payments to Medicaid providers in Nevada.

Q: Who needs to fill out Form 83631?
A: Governmental entities participating in the Medicaid Supplemental Payment Program in Nevada need to fill out this form.

Q: What information is required on Form 83631?
A: The form requires information such as the entity's name, address, federal identification number, and Medicaid provider number.

Q: Is Form 83631 mandatory for participation in the Medicaid Supplemental Payment Program?
A: Yes, governmental entities must fill out this form to participate in the program.

Q: Are there any fees associated with submitting Form 83631?
A: There are no fees associated with submitting this form.

Q: When should Form 83631 be submitted?
A: The form should be submitted annually, by the due date specified by the Nevada Medicaid program.

Q: Who can I contact for more information about Form 83631?
A: For more information, you can contact the Nevada Medicaid program or the Medicaid office in your area.