This version of the form is not currently in use and is provided for reference only. Download this version of Form NMO-6080 for the current year.
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 NMO-6080?
A: Form NMO-6080 is the Severely Emotionally Disturbed (SED) Children Managed Care Organization (MCO) Disenrollment Form for Nevada.
Q: Who is this form for?
A: This form is for parents or guardians of Severe Emotionally Disturbed (SED) children who want to disenroll from the Managed Care Organization (MCO) in Nevada.
Q: What is the purpose of this form?
A: The purpose of this form is to request disenrollment from the Managed Care Organization (MCO) for Severely Emotionally Disturbed (SED) children in Nevada.
Q: Are there any eligibility requirements for disenrollment?
A: Yes, there may be eligibility requirements for disenrollment from the Managed Care Organization (MCO) for Severely Emotionally Disturbed (SED) children in Nevada. You should refer to the form or contact the relevant agency for more information.
Q: What should I do if I want to disenroll my child from the Managed Care Organization (MCO) in Nevada?
A: You should complete Form NMO-6080 Severely Emotionally Disturbed (SED) Children Managed Care Organization (MCO) Disenrollment Form and follow the instructions provided on the form.
Q: Is there a deadline for submitting this form?
A: The form should be submitted within the specified timeframe provided by the Managed Care Organization (MCO) or relevant agency. You should check the instructions on the form or contact the agency for more information.
Q: What happens after I submit the form?
A: After you submit Form NMO-6080 Severely Emotionally Disturbed (SED) Children Managed Care Organization (MCO) Disenrollment Form, the Managed Care Organization (MCO) or relevant agency will process your request and inform you of the outcome.
Q: Can I change my mind after submitting this form?
A: It depends on the policies of the Managed Care Organization (MCO) or relevant agency. You should contact them to inquire about any changes to your child's enrollment status after submitting the form.
Form Details:
Download a fillable version of Form NMO-6080 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.