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.
Q: What is Form FA-92?
A: Form FA-92 is the Nevada Medicaid Hospice Program Election Notice for adults.
Q: What is the purpose of Form FA-92?
A: The purpose of Form FA-92 is to inform adults about the Nevada Medicaid Hospice Program and provide them with the option to elect hospice care.
Q: Who is eligible to receive hospice care under the Nevada Medicaid Hospice Program?
A: Adults who are eligible for Nevada Medicaid and meet the criteria for hospice care are eligible to receive hospice care under the program.
Q: What information is included in Form FA-92?
A: Form FA-92 includes information about the Nevada Medicaid Hospice Program, the benefits of hospice care, and the options for electing hospice care.
Q: How can adults elect hospice care under the Nevada Medicaid Hospice Program?
A: Adults can elect hospice care under the Nevada Medicaid Hospice Program by completing and submitting Form FA-92 to the appropriate Medicaid agency.
Q: Are there any limitations or restrictions for receiving hospice care under the Nevada Medicaid Hospice Program?
A: Yes, there may be limitations or restrictions for receiving hospice care under the program. The specific limitations or restrictions will be outlined in the program's guidelines.
Form Details:
Download a fillable version of Form FA-92 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.