Form FA-31D Provider Initial Enrollment Application (Groups / Facilities) - Nevada

What Is Form FA-31D?

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-31D?
A: Form FA-31D is the Provider Initial Enrollment Application for Groups/Facilities in Nevada.

Q: Who should use Form FA-31D?
A: Groups/Facilities in Nevada who wish to enroll as Medicaid providers should use Form FA-31D.

Q: What information is required on Form FA-31D?
A: Form FA-31D requires information about the group or facility, including contact details, services provided, and ownership information.

Q: Are there any fees associated with Form FA-31D?
A: There are no fees associated with submitting Form FA-31D for provider enrollment.

Q: How long does it take to process Form FA-31D?
A: Processing times may vary, but it typically takes around 60 days for Form FA-31D to be processed.

Q: Is there any additional documentation required with Form FA-31D?
A: Yes, additional documentation such as a W-9 form, license/ certification documentation, and ownership/ controlling interest disclosure is required with Form FA-31D.