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Division of Health Care Financing and Policy Nevada Medicaid Managed Care State Fiscal Year 2023 Network Adequacy ValidationJune 2023 Final CopyTable of Contents 1.Overview and Methodology ...........................................................................................................
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Nevada Focused Program Integrity is a regulatory framework aimed at ensuring compliance and integrity among healthcare providers and organizations operating within the state of Nevada.
Healthcare providers, managed care organizations, and any entities involved in the delivery of health services in Nevada are required to file Nevada Focused Program Integrity.
Filing Nevada Focused Program Integrity typically involves completing the required forms with accurate data regarding operations, compliance practices, and any incidents of non-compliance.
The purpose of Nevada Focused Program Integrity is to uphold standards of care, prevent fraud and abuse, and ensure that healthcare providers comply with state regulations.
Entities must report information related to their compliance practices, any incidents of fraud or abuse, and metrics regarding the quality of care provided.
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