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Form FA-31A Provider Revalidation Application (Individuals) - Nevada
What Is Form FA-31A?
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 FA-31A?
A: Form FA-31A is the Provider Revalidation Application for Individuals in Nevada.
Q: Who needs to complete Form FA-31A?
A: Individual providers in Nevada need to complete Form FA-31A for revalidation purposes.
Q: How do I complete Form FA-31A?
A: Follow the instructions on the form and provide all the required information.
Q: Why is revalidation necessary?
A: Revalidation is necessary to ensure that providers continue to meet the eligibility requirements and standards set by Nevada Medicaid.
Q: What happens if I don't complete Form FA-31A?
A: Failure to complete Form FA-31A may result in the termination of your provider agreement with Nevada Medicaid.
Q: Is there a deadline for submitting Form FA-31A?
A: Yes, the form must be submitted within the specified deadline. Check the form or contact Nevada Medicaid for more information.
Q: Are there any fees associated with Form FA-31A?
A: There are no fees associated with Form FA-31A.
Form Details:
- Released on February 18, 2014;
- The latest edition provided by the Nevada Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FA-31A by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form FA-31A Provider Revalidation Application (Individuals) - Nevada
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