Download and print the information you need.
- Behavioral Health Outpatient Treatment Request Form (PDF)
- Important Information Regarding EPSDT Services
- Understanding Patient Satisfaction Reporting
- Update to Health Plan of Nevada Medicaid’s Prenatal and Postpartum Bonus Program (PDF)
- Medicaid Appointment Availability Standards including Behavioral Healthcare Options Quick Reference Guide (PDF)
- Maternity Risk Screening Form (PDF)
- Well-Child, Sick Child Fax Memo
- Primary Care Physician Change Form (PDF)
- Transplant Referral Fillable Form (PDF)
For Medicaid related forms provided by the Nevada Department of Health and Human Services, please visit medicaid.nv.gov.
If you do not find the information you’re looking for, please call 702-242-7088 or toll-free at 1-800-745-7065, Monday through Friday, 8 a.m. to 5 p.m. local time.