Nevada Medicaid and Nevada Check Up News (Second Quarter 2025 Provider Newsletter) [Read]

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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

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431. SilverSummit_DUR_Binder_Jan_2021.pdf
... DUR Reports  23 Anticonvulsants, Misc. Clinical Presentations 3 DRUG USE REVIEW BOARD MCO PRIOR AUTHORIZATION CRITERIA REVIEW FORM Clinical criteria for drugs or drug classes listed on ...
Terms matched: 1  -  Score: 76  -  04 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/SilverSummit_DUR_Binder_Jan_2021.pdf
432. 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
433. FFS_DUR_Binder_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: 11  -  05 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FFS_DUR_Binder_Jan_2021.pdf
434. Trading%20Partners%20Fully%20Certified%20Report.pdf
... Home Companion X X ANGEL’S TOUCH HOME CARE LLC X Anthem (MCO) X X Apex EDI X X X Availity, LLC X X X ...
Terms matched: 1  -  Score: 96  -  06 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Trading%2520Partners%2520Fully%2520Certified%2520Report.pdf
435. Anthem_DUR_Binder_Jan_2021.pdf
... Presentation Presented to NV DUR Board on January 28, 2021 DRUG USE REVIEW BOARD MCO PRIOR AUTHORIZATION CRITERIA REVIEW FORM Clinical criteria for drugs or drug classes listed on ...
Terms matched: 1  -  Score: 57  -  06 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Anthem_DUR_Binder_Jan_2021.pdf
436. Hospice_Provider_Training_2021.pdf
... “Formsâ€page, locate the “Hospice Formsâ€section and choose appropriate forms. †' Make sure that all instructions are followed. ...
Terms matched: 1  -  Score: 88  -  19 Jan 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Hospice_Provider_Training_2021.pdf
437. COVID_Flyers.pdf
... public for in-person services** If you are in a Managed Care Plan (MCO) â€" Please call your plan at: Anthem Blue Cross and ...
Terms matched: 1  -  Score: 83  -  03 Feb 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/COVID_Flyers.pdf
438. Multiple_Sclerosis_Agents_2021-04.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: 23  -  05 Mar 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Multiple_Sclerosis_Agents_2021-04.pdf
439. Platelet_Aggregation_2021-04.pdf
... patients at increased risk of stroke and have undergone PCI, it is reasonable to choose Plavix over Effient. Double therapy with a P2Y 12 inhibitor (Plavix or ...
Terms matched: 1  -  Score: 22  -  05 Mar 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Platelet_Aggregation_2021-04.pdf
440. Narcolepsy_Agents_2021-04.pdf
... to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation: ï ‚ 0 = would never ...
Terms matched: 1  -  Score: 10  -  05 Mar 2021  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Narcolepsy_Agents_2021-04.pdf
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