Nevada Medicaid and Nevada Check Up News (Fourth 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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Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2025 Professional Claims. See Web Announcement 3559.

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

Top Prior Authorization Denial Reasons for the Fourth Quarter of 2024. See Web Announcement 3458.

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101. Binder_DUR_2017-1011.pdf
... such patients in deciding which glucocorticoid to choose, when to initiate treatment, and ... ™s has been conducted. The MCO expansion was effective July 1, 2017 ...
Terms matched: 2  -  Score: 39  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2017-1011.pdf
102. Binder_DUR_2017-0824.pdf
... the drug utilization review board. As a reminder for the audience, if you choose to speak, please limit remarks to 5 minutes. We will give plenty ...
Terms matched: 1  -  Score: 14  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2017-0824.pdf
103. Binder_DUR_2016_07.pdf
... . James Marx: There was an announcement that all recipients are being moved to MCO, is that true? Mary Griffith: No, I don’ ...
Terms matched: 1  -  Score: 14  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2016_07.pdf
104. Binder_DUR_2016_04.pdf
... guidelines regarding the specific CSFs within the class. o The NCCN states that when choosing an agent for the treatment of prophylaxis of febrile neutropenia, filgrastim and pegfilgrastim ...
Terms matched: 1  -  Score: 12  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2016_04.pdf
105. Binder_DUR_2016_01.pdf
... are widely available through our distributor, so I do believe it could be the MCO that is mandating this. Coleen Lawrence: This Board is only responsible for ...
Terms matched: 1  -  Score: 14  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2016_01.pdf
106. Binder for Jan 22 DUR Meeting 2015-0114.pdf
... risk of stroke: no therapy is suggested over antithrombotic therapy. For patients who choose antithrombotic therapy, aspirin is suggested over oral anticoagulation or combination therapy with aspirin ...
Terms matched: 1  -  Score: 75  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder%20for%20Jan%2022%20DUR%20Meeting%202015-0114.pdf
107. Binder_DUR_2015_09.pdf
... than welcome to do whatever the Board chooses to do. You could do the ... and not to be confused with an MCO or Managed Care Organization. We serve ...
Terms matched: 2  -  Score: 47  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2015_09.pdf
108. Beta-adrenergic_antagonists_2015-0812.pdf
... of the level of urine albumin excretion. Â In adult kidney transplant recipients, choose a blood pressure -lowering agent after taking into account the time after transplantation, ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Beta-adrenergic_antagonists_2015-0812.pdf
109. Benefit_Enrollment_and_Maintenance_(834)_-_Mod.pdf
... Daily files will be generated if DHCFP has updates for a recipient enrolled in an MCO. If no updates are performed, then no enrollment file will be generated ...
Terms matched: 1  -  Score: 46  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Benefit_Enrollment_and_Maintenance_(834)_-_Mod.pdf
110. Benefit_Enrollment_and_Maintanance_(834)_n062818.pdf
... Daily files will be generated if DHCFP has updates for a recipient enrolled in an MCO. If no updates are performed, then no enrollment file will be generated ...
Terms matched: 1  -  Score: 43  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Benefit_Enrollment_and_Maintanance_(834)_n062818.pdf
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