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This version of the form is not currently in use and is provided for reference only. Download this version of
Form NMO-5006E/S
for the current year.
Form NMO-5006E / S Nevada Medicaid and Nevada Check up - Managed Care Organization (Mco) Change Form - Nevada (English / Spanish)
What Is Form NMO-5006E/S?
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 NMO-5006E/S?
A: Form NMO-5006E/S is the Nevada Medicaid and Nevada Check up - Managed Care Organization (MCO) Change Form in English and Spanish.
Q: What is the purpose of Form NMO-5006E/S?
A: The purpose of Form NMO-5006E/S is to request a change in the Managed Care Organization (MCO) for Nevada Medicaid and Nevada Check up.
Q: What is Nevada Medicaid?
A: Nevada Medicaid is a healthcare program that provides medical assistance to eligible low-income individuals and families in Nevada.
Q: What is Nevada Check up?
A: Nevada Check up is a program that provides health insurance to uninsured children under the age of 19 in Nevada.
Q: What is a Managed Care Organization (MCO)?
A: A Managed Care Organization (MCO) is a health insurance provider that manages and coordinates the healthcare services for Medicaid and Nevada Check up recipients.
Q: Who can use Form NMO-5006E/S?
A: Form NMO-5006E/S can be used by individuals and families in Nevada who are currently enrolled in Medicaid or Nevada Check up and wish to change their Managed Care Organization (MCO).
Q: Is Form NMO-5006E/S available in English and Spanish?
A: Yes, Form NMO-5006E/S is available in both English and Spanish.
Q: Are there any fees associated with submitting Form NMO-5006E/S?
A: No, there are no fees associated with submitting Form NMO-5006E/S.
Q: How long does it take to process Form NMO-5006E/S?
A: The processing time for Form NMO-5006E/S may vary, but it is typically processed within a few weeks.
Q: What information is required on Form NMO-5006E/S?
A: Form NMO-5006E/S requires information such as the individual's or family's Medicaid or Nevada Check up ID number, current MCO information, and the requested MCO change.
Form Details:
- Released on March 1, 2021;
- The latest edition provided by the Nevada Department of Health and Human Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form NMO-5006E/S by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form NMO-5006E / S Nevada Medicaid and Nevada Check up - Managed Care Organization (Mco) Change Form - Nevada (English / Spanish)
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