Instructions for Form NMO-7073 Nevada Medicaid: Functional Assessment Service Plan - Nevada

Form NMO-7073 Nevada Medicaid: Functional Assessment Service Plan - Nevada

This document contains official instructions for Form NMO-7073 , Nevada Medicaid: Functional Assessment Service Plan - a form released and collected by the Nevada Department of Health and Human Services. An up-to-date fillable Form NMO-7073 is available for download through this link.

FAQ

Q: What is Form NMO-7073?A: Form NMO-7073 is the Nevada Medicaid Functional Assessment Service Plan.

Q: What is the purpose of Form NMO-7073?A: The purpose of Form NMO-7073 is to assess and plan for the functional needs of individuals applying for or receiving Nevada Medicaid.

Q: Who is required to fill out Form NMO-7073?A: Form NMO-7073 must be completed by the individual, their guardian, or authorized representative.

Q: What information is required on Form NMO-7073?A: Form NMO-7073 requires personal information, functional assessment questions, and a service plan.

Q: Are there any fees associated with Form NMO-7073?A: No, there are no fees associated with Form NMO-7073.

Q: What is the deadline for submitting Form NMO-7073?A: There is no specific deadline for submitting Form NMO-7073. It should be submitted as soon as possible after eligibility for Nevada Medicaid is determined.