Nevada Medicaid and Nevada Check Up News (Second Quarter 2025 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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241. Encounter_NET_837P_Companion_Guide_-_Mod.pdf
... the submitter for correction. (When resubmitting a rejected encounter claim, the same MCO ICN/TCN must be used on the corrected encounter claim.) The ...
Terms matched: 1  -  Score: 63  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter_NET_837P_Companion_Guide_-_Mod.pdf
242. web_announcement_2684_20220114.pdf
... for your patients. Nevada Medicaid recipients who wish to change Managed Care Organization (MCO) health plans are encouraged to submit a change request immediately. Nevada Medicaid ...
Terms matched: 1  -  Score: 62  -  20 Jan 2022  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_2684_20220114.pdf
243. Web_Portal_QRG_20120110_Old.pdf
... Administrator (must match step 12 above) . person to register. 14) Choose a Site Key (use left or right arrows to ï ‚ The System ...
Terms matched: 1  -  Score: 61  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Web_Portal_QRG_20120110_Old.pdf
244. Health_Plan_of_Nevada_DUR_Binder_Jan_2021.pdf
... Drug Use Review Board Meeting JANUARY 28, 2021 2021 3 DRUG USE REVIEW BOARD MCO PRIOR AUTHORIZATION CRITERIA REVIEW FORM Clinical criteria for drugs or drug classes listed on ...
Terms matched: 1  -  Score: 60  -  04 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Health_Plan_of_Nevada_DUR_Binder_Jan_2021.pdf
245. Health_Plan_of_Nevada_DUR_Binder_Oct_2020.pdf
... Drug Use Review Board Meeting OCTOBER 22, 2020 2020 3 DRUG USE REVIEW BOARD MCO PRIOR AUTHORIZATION CRITERIA REVIEW FORM Clinical criteria for drugs or drug classes listed on ...
Terms matched: 1  -  Score: 60  -  25 Sep 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Health_Plan_of_Nevada_DUR_Binder_Oct_2020.pdf
246. Health_Plan_of_Nevada_DUR_Binder_April_2022.pdf
... Drug Use Review Board Meeting APRIL 28, 2022 2022 3 DRUG USE REVIEW BOARD MCO PRIOR AUTHORIZATION CRITERIA REVIEW FORM Clinical criteria for drugs or drug classes listed on ...
Terms matched: 1  -  Score: 60  -  04 Apr 2022  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Health_Plan_of_Nevada_DUR_Binder_April_2022.pdf
247. SilverSummit_DUR_Binder_Oct_2020.pdf
... - 24 Standard DUR Reports - 26 Topical Antipruritics Clinical Presentation DRUG USE REVIEW BOARD MCO PRIOR AUTHORIZATION CRITERIA REVIEW FORM Clinical criteria for drugs or drug classes listed on ...
Terms matched: 1  -  Score: 60  -  25 Sep 2020  -  URL: https://www.medicaid.nv.gov/Downloads/provider/SilverSummit_DUR_Binder_Oct_2020.pdf
248. web_announcement_1423_20170808.pdf
... of Health Care Financing and Policy (DHCFP) as a Managed Care Organization (MCO) for Nevada Medicaid and Nevada Check Up recipients will end. Medicaid and ...
Terms matched: 1  -  Score: 59  -  08 Aug 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_1423_20170808.pdf
249. Binder_DUR_2018_1018.pdf
... unfortunately similar to what the other ones are. After seeing their recommendations from the MCO as saying that they would just like to keep this criteria. Chapter 1200 ...
Terms matched: 1  -  Score: 59  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2018_1018.pdf
250. Atypical (Second-Generation) Antipsychotics.pdf
... first 1 to 2 weeks of therapy; therefore, this must be considered when choosing an agent for 10 the acute treatment of schizophrenia. Lurasidone is indicated for ...
Terms matched: 1  -  Score: 59  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Atypical%20(Second-Generation)%20Antipsychotics.pdf
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