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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL The case manager will send Form 2534 to the relatives advising them of the application, the hospital, nursing home or county agency representative and request any eligibility information to assist in processing the case. NOTE: Division employees may serve as an A/R for a Medicaid case. A-120.1 Spousal Authorization A spouse whose income and resources are countable in determining a customer’s financial eligibility, and is not applying for or receiving assistance, must sign an Interface Consent, Form 2179-EE, authorizing DWSS to interface with other federal and state agencies for information and verifications. A-125 MEDICAID CARD ISSUANCE AND RESTRICTED STATUS All newly approved Medicaid recipients are issued a permanent plastic Medicaid card. When a household reports non-receipt of their Medicaid card, verify the customer mailing address in AMPS and issue a new Medicaid card for the reported household member(s). A new Medicaid card is automatically issued if the customer’s name, date of birth or gender are changed and/or updated. A new card is NOT automatically issued when the address is changed. Households where the use of the Medicaid card is questionable may have their card stamped with a restrictive endorsement. A-130 MANAGED CARE ENROLLMENT Through the Division of Health Care Financing and Policy (DHCFP), Nevada Medicaid and Nevada Check Up operates both a fee-for-service (FFS) and a managed care reimbursement and service delivery system to provide covered medically necessary services to its eligible populations. Managed care is a method of payment and a care delivery model that allows providers to bill the managed care organization. FFS is a payment model that allows the medical provider or facility to bill the DHCFP’s fiscal agent directly. Managed care enrollment is only available for MAGI based medical groups for recipients in the urban areas of Washoe County and Clark County. Certain medical groups are voluntary enrollment in Managed Care Organization (MCO), such as Native Americans, children with special health care needs enrolled in a Title V program, and severely emotionally disturbed (SED) children Aged, blind and disabled populations, the Medicare eligible population and those receiving SSI benefits are not eligible for managed care. Division of Welfare and Supportive Services A-120 Medical Assistance Manual MEDICAL ASSISTANCE OVERVIEW 24 Sept MTL 07/24 AUTHORIZED REPRESENTATIVE (A/R) – MANAGED CARE ENROLLMENT