Complete the Home Health Agency Prior Authorization Request (FA-16A) and submit through the Provider Web Portal. Home Health services provide medically necessary skilled interventions, including:
- Nursing Services
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Respiratory Therapy
- Dietician Services
All Home Health services require a doctor’s order and prior authorization.
Home Health Medicaid Services Manual (MSM):
Refer to Regulatory section
A doctor’s order is required for Home Health services. Your healthcare provider will submit the doctor’s order to a Medicaid enrolled Home Health Agency. The agency will submit the required documentation to Nevada Medicaid's fiscal agent to request prior authorization for Home Health services.
To request Home Health services for a Medicaid recipient
- Complete the Home Health Agency Prior Authorization Request (FA-16A) and submit
through the Provider Web Portal.
To enroll as a Medicaid Home Health provider