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The conference also featured a recruitment fair in cooperation with Nevada 's Clark County School District , the fifth largest school district in the nation . To the contrary , the letter from the President , NVCHA , reflects concern . After the Medicaid provider agreement was terminated on May 25 , 1981 , the State issued a new provider agreement based on the reinstatement of JCAH accreditation . If the student is not satisfied with the decision of the Dean , the student may then appeal to the Special Subcommittee for Graduate Appeals in care of the Office of Graduate Studies.Appeals of final grades , including the assignment of a failing grade for non-attendance in a course , must be made within 180 days of the mailing of grades by the Office of Graduate Studies . See , the last three plans of care in State Tab J and Agency Tab E.