Nevada Medicaid and Nevada Check Up News (Third Quarter 2024 Provider Newsletter) [Read]

Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled [See Web Announcement 2009]

Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Announcement 850]

If you are a Medicaid provider whose revalidation application has not been processed by your termination due date, you will be ineligible to provide services to any Nevada Medicaid or Nevada Check Up recipients, including both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. See Web Announcement 1265

Enrollment Termination Frequently Asked Questions (FAQs) [Review]

Featured Links

DHCFP EVV

Authorization Criteria

DHCFP Home

EDI Information

EVS User Manual

Modernization Project

Online Provider Enrollment

Provider Login (EVS)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

Self-Paced Training Videos

Notifications

Unwinding COVID-19 Information

Known System Issues-Click HERE

Feedback Requested Regarding the Gabby™ Interactive Voice Response (IVR) System Survey

Paper claims are no longer accepted by Nevada Medicaid. Please refer to Web Announcement 1733 and Web Announcement 1829 for additional information.

Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2024 Professional Claims. See Web Announcement 3448.

Top Enrollment Return Reasons and Resolutions for January 2024 Submissions. See Web Announcement 3350.

Top Prior Authorization Denial Reasons for the Second Quarter of 2024. See Web Announcement 3427.

Attention Providers Using the Authorization Criteria Function: Results that return prior authorization (PA) requirements are accurate. For results that return “There are no records found based on the search criteria,” there may be a PA requirement if limits have been exceeded. To verify PA requirements, please refer to the Medicaid Services Manual (MSM) Chapter for your service type at dhcfp.nv.gov and the Billing Guide for your provider type at www.medicaid.nv.gov.

Provider Links

DHCFP EVV

Billing Information

Forms

Provider Enrollment

Provider Newsletters

Provider Training

Scheduled Site Maintenance

During the scheduled site maintenance window the Provider Web Portal will be unavailable. The table below shows the regularly scheduled maintenance window. All times will be in the Pacific time zone.

Monday - Friday
12:00AM - 12:30AM

Monday
8:00PM - 12:00AM

Enhance your search:
  • Note that you can use "*" and "?" as wildcards.

  • Enclosing more than one word in double quotes ("search engine") will search for the exact phrase.
Example Zoom search template page

Search this site

Enter one or more keywords to search for using the Zoom Search Engine.
Note that '*' and '?' wildcards are supported.



Match:

Search results for: choose mco

66 results found containing all search terms. 700 results found containing some search terms.

77 pages of results.
Sort by relevance / Sorted by date ▼
1. Immunomodulators_2015-0930.pdf
... should have the option to start treatment again. Remission maintenance  For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2015-0930.pdf
2. Immunomodulators_2015-0812.pdf
... should have the option to start treatment again. Remission maintenance  For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2015-0812.pdf
3. Immunomodulators_2014-0918.pdf
... the option to start treatment again. Remission maintenance • For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2014-0918.pdf
4. Immunomodulators_2013-1218.pdf
... the option to start treatment again. Remission maintenance • For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2013-1218.pdf
5. Immunomodulators_2013-0812.pdf
... Recommendations option to start treatment again. Remission maintenance • For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2013-0812.pdf
6. Immunomodulators.pdf
... . In either case, these should be co-prescribed with a proton pump inhibitor, choosing the one with the lowest acquisition cost. Â All oral NSAIDs or COX-2 ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators.pdf
7. Immunomodulators 2014 11.pdf
... the option to start treatment again. Remission maintenance • For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators%202014%2011.pdf
8. ICF-IID_Tracking_Form_Validation_Guide_2016-0615.pdf
... within the recipient’s Medicaid eligibility. The member is enrolled in an MCO on the ICF/IID Tracking Form is submitted with a date(s ...
Terms matched: 1  -  Score: 52  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/ICF-IID_Tracking_Form_Validation_Guide_2016-0615.pdf
9. ICD-10_Testing_Instructions.pdf
... claims matching the ICD-9 baseline, trading partners can continue submitting ICD-10 claims of their choosing. ï ‚ Trading partners that cannot create a claim based off an 835 ...
Terms matched: 1  -  Score: 38  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/ICD-10_Testing_Instructions.pdf
10. Hospice_Authorization_-_Claim_Training_021518.pdf
... “Formsâ€page, locate the “Hospice Formsâ€section and choose appropriate forms. †' Make sure that you follow the instructions on ...
Terms matched: 1  -  Score: 13  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Hospice_Authorization_-_Claim_Training_021518.pdf
Result Pages: 1 2 3 4 5 6 7 8 9 10 11 Next >>

Search powered by Zoom Search Engine



Search took 0.096 seconds