Nevada Medicaid and Nevada Check Up News (Second Quarter 2026 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]

Featured Links

Nevada Medicaid EVV

Authorization Criteria

Nevada Medicaid Home

EDI Information

PWP User Manual

Provider Enrollment

Provider Login (PWP)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

Self-Paced Training Videos

Notifications

IMPORTANT: Nevada Medicaid is conducting a swift revalidation effort on high risk providers. If selected, you will receive a revalidation notice with instructions through the standard communication process. See Web Announcement 3935 for more information.

Known System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2026 Professional Claims. See Web Announcement 4031.

Top Prior Authorization Denial Reasons for the Second Quarter of 2026. See Web Announcement 4053.

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 https://NevadaMedicaid.nv.gov/ and the Billing Guide for your provider type at www.medicaid.nv.gov.

Provider Links

Nevada Medicaid EVV

Billing Information

Forms

Provider Enrollment

Provider Newsletters

Provider Training

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: wa 0812 2782 5310 pandawa ahli karpet masjid roll custom sambirejo sragen

No results found containing all search terms. 1234 results found containing some search terms.

124 pages of results.
Sort by relevance / Sorted by date ▼
1. NV_Billing_General.pdf
... a valid contact email address for First Health Services. Providers should now call the customer service center with any questions rather than sending an email to this address. ...
Terms matched: 1  -  Score: 28  -  22 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
2. NV_Billing_General_20261008.pdf
... a valid contact email address for First Health Services. Providers should now call the customer service center with any questions rather than sending an email to this address. ...
Terms matched: 1  -  Score: 28  -  22 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20261008.pdf
3. NV_BillingGuidelines_PT32_Spec_249.pdf
... timelines outlined in the Billing Manual. Code Service Limit 87635 2 units allowed per rolling month - PA Override 87636 2 units allowed per rolling month - PA Override ...
Terms matched: 1  -  Score: 134  -  21 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT32_Spec_249.pdf
4. NV_BillingGuidelines_PT32_Spec_249_online_20260727.pdf
... COVID-19 Testing Nevada Medicaid covers COVID-19 diagnostic and serology antibody testing up to twice per rolling month for each recipient. If additional testing is deemed medically necessary, a ...
Terms matched: 1  -  Score: 20  -  21 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT32_Spec_249_online_20260727.pdf
5. FA-11E.pdf
... a patient who exhibits destructive behavior • completed in an environment that is customized to the patient's behavior Group adaptive behavior treatment by protocol, administered by technician ...
Terms matched: 1  -  Score: 20  -  14 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-11E.pdf
6. NV_BillingGuidelines_PT85.pdf
... 4 0362T 15 minutes Not required • Completed in an environment that is customized to the units per 180 days patient's behavior • Per the AMA ...
Terms matched: 1  -  Score: 24  -  13 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT85.pdf
7. NV_BillingGuidelines_PT85_20260727.pdf
... - 90899, 96101- 0362T • Completed in an environment that is customized 15 minutes units per 180 Not required 96125, 96150, 96151, 96152 ...
Terms matched: 1  -  Score: 24  -  13 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT85_20260727.pdf
8. NV_Billing_General_20260710.pdf
... a valid contact email address for First Health Services. Providers should now call the customer service center with any questions rather than sending an email to this address. ...
Terms matched: 1  -  Score: 28  -  08 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20260710.pdf
9. Error_Code_to_EOB_to_ANSI.pdf
... REMARK_CODE_DESCRIPTION 247 MAXIMUM NUMBER OF CLAIM DETAILS 5310 The detail lines are missing or the ... CO) 5500 1 UNIT ALLOWED PER ROLLING YEAR 5500 ONE UNIT ALLOWED PER ROLLING ...
Terms matched: 2  -  Score: 352  -  06 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
10. NV_BillingGuidelines_PT14.pdf
... per day for the next 90 days; based on a Authorization individual services can rolling calendar and consecutive months requests above be billed without the with no break in ...
Terms matched: 1  -  Score: 37  -  29 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14.pdf
Result Pages: 1 2 3 4 5 6 7 8 9 10 11 Next >>

Search powered by Zoom Search Engine



Search took 0.070 seconds