Nevada Medicaid and Nevada Check Up News (First 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]

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Electronic Visit Verification (EVV) Claim Update: Providers using Sandata for claims submission are advised to allow 24 hours after claim submission for claim details to be visible in the Medicaid Management Information System (MMIS). Please be advised that claims must be submitted before noon Pacific Time on Fridays to be included in the following weeks’ remittance advice.

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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 March 2024 Professional Claims. See Web Announcement 3335.

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

Top Prior Authorization Denial Reasons for the Fourth Quarter of 2023. See Web Announcement 3280.

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.

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1. NVRx_DCR_20090326_Acne_Agents.pdf
... the incidence and severity of adverse effects. Often times this can be minimized by choosing the appropriate topical base for skin type, gel or solution for oily skin ...
Terms matched: 1  -  Score: 28  -  03 Dec 2011  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NVRx_DCR_20090326_Acne_Agents.pdf
2. NVRx_DCR_20090625_Antidepressants_Other.pdf
... made by the American College of Physicians. The first recommendation is for clinicians to choose pharmacologic therapy for treatment of patients with acute major depression based on adverse effect ...
Terms matched: 1  -  Score: 12  -  03 Dec 2011  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NVRx_DCR_20090625_Antidepressants_Other.pdf
3. NVRx_DCR_20110623_Antipsychotics_Oral_Atypical.pdf
... agent to use first, but various guidelines exist to help guide the clinician in choosing the best individualized treatment for schizophrenia, bipolar disorder, or major depressive disorder ...
Terms matched: 1  -  Score: 21  -  03 Dec 2011  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NVRx_DCR_20110623_Antipsychotics_Oral_Atypical.pdf
4. NVRx_DCR_20110623_Cardiovascular_Direct_Renin_Inhibitors_and_Combinations.pdf
... ; Novartis Pharmaceuticals Corp: February 2010. 149 Leonetti G, Cuspidi C. Choosing the right ACE inhibitor: A guide to selection. Drugs. 1995; ...
Terms matched: 1  -  Score: 21  -  03 Dec 2011  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NVRx_DCR_20110623_Cardiovascular_Direct_Renin_Inhibitors_and_Combinations.pdf
5. NVRx_DCR_20110922_Cardiovascular_Direct_Renin_Inhibitors_and_Combinations.pdf
... ; Novartis Pharmaceuticals Corp: February 2010. 149 Leonetti G, Cuspidi C. Choosing the right ACE inhibitor: A guide to selection. Drugs. 1995; ...
Terms matched: 1  -  Score: 21  -  03 Dec 2011  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NVRx_DCR_20110922_Cardiovascular_Direct_Renin_Inhibitors_and_Combinations.pdf
6. web_announcement_1380_20170526.pdf
... 26, 2017 Announcement 1380 Attention All Nevada Medicaid Providers: Managed Care Organization (MCO) Changes Effective 2017 Effective July 1, 2017, the Division of Health ...
Terms matched: 1  -  Score: 168  -  26 May 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_1380_20170526.pdf
7. MMIS_Service_center_user_manual.pdf
... existing different- Error! password or any of your last six passwords. Please choose a different new password and try again. Other errors similar to the ones ...
Terms matched: 1  -  Score: 12  -  14 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/MMIS_Service_center_user_manual.pdf
8. Selective Serotonin 5HT1 Agonists 2014 11.pdf
... (P value not reported) . When permitted to years of age with attacks choose between eletriptan and sumatriptan SC for subsequent treatment, 78% of vs migraine ...
Terms matched: 1  -  Score: 26  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Selective%20Serotonin%205HT1%20Agonists%202014%2011.pdf
9. Urinary_Antispasmodics_2013-0510.pdf
... (Chapple et al )of micturitions 1.47; P>0.05) . patients choosing to vs remain on the lower Secondary: Secondary: treatment dose Change in ...
Terms matched: 1  -  Score: 21  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Urinary_Antispasmodics_2013-0510.pdf
10. Quarterly_Provider_Training_Presentation_FINAL_2014-0328.pdf
... Announcement 704 6 Quarterly Provider Training Ordering, Prescribing and Referring 7 Quarterly Provider Training MCO and FFS • This new requirement does not apply to orders, ...
Terms matched: 1  -  Score: 41  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Quarterly_Provider_Training_Presentation_FINAL_2014-0328.pdf
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