Nevada Medicaid and Nevada Check Up News (First 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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Provider Flex is coming soon!
For information and training opportunities on this exciting new enrollment tool, please visit our Provider Flex page

Attention Provider Types Not Implemented in Provider Flex:
Please note that the Online Provider Enrollment (OPE) tool will be unavailable to begin any NEW enrollment applications for these provider types from June 30, 2025 – July 7, 2025. Please refer to Web Announcement 3595 for details.

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Known System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for May 2025 Professional Claims. See Web Announcement 3651.

Top Prior Authorization Denial Reasons for the First Quarter of 2025. See Web Announcement 3630.

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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491. Immunomodulators_2014-0918.pdf
... the option to start treatment again. Remission maintenance • For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2014-0918.pdf
492. Immunomodulators_2013-1218.pdf
... the option to start treatment again. Remission maintenance • For patients that choose maintenance therapy, offer azathioprine or mercaptopurine as monotherapy to maintain remission when previously ...
Terms matched: 1  -  Score: 29  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2013-1218.pdf
493. 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
494. ABA_Provider_Training_021318.pdf
... continued • While on the “Formsâ€page, locate and choose appropriate forms • Make sure that you follow the instructions on each ...
Terms matched: 1  -  Score: 28  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/ABA_Provider_Training_021318.pdf
495. newsletter_v4i3.pdf
... for “Rendering/Servicing Provider IDâ€please Health Services, providers will choose enter NPI for “Billing Provider.â€a Delegated Administrator who will CMS-1500 ...
Terms matched: 1  -  Score: 27  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/newsletter_v4i3.pdf
496. newsletter_v7i3.pdf
... verify that the break-out session conference, which will address recipient eligibility, prior you choose has your provider type indicated next to it. authorization, clinical claim editor ...
Terms matched: 1  -  Score: 27  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/newsletter_v7i3.pdf
497. 5-HT1 Receptor Agonists_2015-1002.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  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/5-HT1%20Receptor%20Agonists_2015-1002.pdf
498. 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
499. Selective_Serotonin_(5-HT1)_Agonists_2013-0812.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_Serotonin_(5-HT1)_Agonists_2013-0812.pdf
500. Selective_Serotonin_(5-HT1)_Receptor_Agonists_2013-0510.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_Serotonin_(5-HT1)_Receptor_Agonists_2013-0510.pdf
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