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]

Notifications

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.

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 May 2024 Professional Claims. See Web Announcement 3382.

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.

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. 691 results found containing some search terms.

76 pages of results.
... denied or fewer days. If you choose to request fewer days than were originally ... member of a Managed Care Organization (MCO) . - The QIO-like vendor will ...
Terms matched: 2  -  Score: 79  -  04 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PT_63_RTC_Training_2020.pdf
... in their answer to 4 the Challenge Question to verify identity. 5 4. Choose whether log in is on a personal computer or public computer. 5. ...
Terms matched: 1  -  Score: 63  -  30 Dec 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PT_13_Psychiatric_Hospital_Inpatient_Training_2020.pdf
... within 6 months of discontinuation (Level A) . Physicians and people with MS choosing to switch from natalizumab to ï ngolimod should initiate treatment within 8 to 12 ...
Terms matched: 1  -  Score: 32  -  17 Dec 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/E-Binder_SSSB_Jan_2021_.pdf
... ; November 2017. • Post RM. Bipolar disorder in adults: choosing maintenance treatment. UpToDate website. www.uptodate.com. Updated November 9, 2019. ...
Terms matched: 1  -  Score: 10  -  11 Dec 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Anticonvulsants_2021-01.pdf
... FFS) Medicaid. If the recipient is enrolled in a Managed Care Organization (MCO), the MCO is responsible for reimbursement of the first month of admission ...
Terms matched: 1  -  Score: 126  -  10 Dec 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT63_20191203.pdf
... 2019 34 Available transactions Trading Partners can choose to enroll for the following HIPAA Standard ... contractor contact information • New MCO contact information 08/08/2008 ...
Terms matched: 2  -  Score: 198  -  18 Nov 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20200413.pdf
... within 6 months of discontinuation (Level A) . Physicians and people with MS choosing to switch from natalizumab to ï ngolimod should initiate treatment within 8 to 12 ...
Terms matched: 1  -  Score: 32  -  10 Nov 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/E-Binder_SSSB_Dec_2020.pdf
... . Select a Site Key image 8. Enter a unique Passphrase 8 9. Choose 3 Challenge Questions from the 9 dropdown list and create a unique answer for ...
Terms matched: 1  -  Score: 103  -  06 Nov 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PWP_Professional_FINAL_061820.pdf
... . Select a Site Key image 8. Enter a unique 8 Passphrase 9. Choose 3 Challenge 9 Questions from the dropdown list and create a unique answer for ...
Terms matched: 1  -  Score: 94  -  06 Nov 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PWP_Institutional_FINAL_061820.pdf
... : • Answer the Challenge Question to verify identity. • Choose whether log in is on a personal computer or public computer. †...
Terms matched: 1  -  Score: 46  -  27 Oct 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Therapy_Provider_Training_093020.pdf
Result Pages: << Previous 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 Next >>

Search powered by Zoom Search Engine



Search took 0.067 seconds