Nevada Medicaid and Nevada Check Up News (First 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

NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. Pacific Time on Monday, May 11, 2026, through 4 a.m. Pacific Time on Tuesday, May 12, 2026, for scheduled maintenance:
  • All secure Provider Web Portal (PWP) functions
  • Provider Flex
  • Gabby®, which includes:
    • Gainwell Technologies Contact Center (877) 638-3472
    • Automated Response System (ARS) (800) 942-6511
  • Real time CAQH/CORE EDI eligibility and claim verification
  • Provider Pre-Admission Screening Resident Review (PASRR)
    • Known System Issues-Click HERE

    Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2026 Professional Claims. See Web Announcement 3894.

    Top Prior Authorization Denial Reasons for the First Quarter of 2026. See Web Announcement 3900.

    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 biaya borongan bangun rumah type 36 72 murah serengan solo

No results found containing all search terms. 4247 results found containing some search terms.

425 pages of results.
Sort by relevance / Sorted by date ▼
1. FA-11.pdf
... notify sender immediately and shall destroy all information received. DATE OF REQUEST: REQUEST TYPE: Initial Prior Authorization Concurrent Authorization Unscheduled Revision Retrospective Authorization â€" Date ...
Terms matched: 1  -  Score: 23  -  07 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-11.pdf
2. Known_Issues.pdf
... Some claims submitted by provider types 24- †... on the Web Portal. 36 Claims, PCS Some ... proc billing table) . 72 Claims, Some claims ...
Terms matched: 3  -  Score: 455  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Known_Issues.pdf
3. Error_Code_to_EOB_to_ANSI.pdf
... MAXIMUM NUMBER OF CLAIM DETAILS 5310 The detail lines are ... , if present. 273 TYPE OF BILL MISSING 4100 ... /05/2026 Page 36 of 185 Claim Error ...
Terms matched: 4  -  Score: 646  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
4. NV_BillingGuidelines_PT11.pdf
... Provider Type 11 Billing Guide Hospital, Inpatient Program Overview A hospital (other than tuberculosis or psychiatric) is a state licensed, Medicare certified inpatient medical facility ...
Terms matched: 1  -  Score: 292  -  01 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT11.pdf
5. NV_BillingGuidelines_PT11_online_082725.pdf
... Provider Type 11 Billing Guide Hospital, Inpatient Program Overview A hospital (other than tuberculosis or psychiatric) is a state licensed, Medicare certified inpatient medical facility ...
Terms matched: 1  -  Score: 292  -  01 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT11_online_082725.pdf
6. DME_Enrollment_Moratorium_Exemption_Request.pdf
... Administrator Joe Lombardo Reno, Nevada 89521 Governor NVHA.NV.GOV Enrollment Moratorium Exemption Request Form Provider Type 33 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) ...
Terms matched: 1  -  Score: 23  -  30 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/DME_Enrollment_Moratorium_Exemption_Request.pdf
7. NV_BillingGuidelines_PT60.pdf
... Provider Type 60 Billing Guide School Health Services ( ... 12/16/2025 36 / 78 Provider Type ... 12/16/2025 72 / 78 Provider Type ...
Terms matched: 3  -  Score: 674  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60.pdf
8. NV_BillingGuidelines_PT60_2025-1216.pdf
... Provider Type 60 Billing Guide School Health Services ( ... 08/28/2024 36 / 78 Provider Type ... 08/28/2024 72 / 78 Provider Type ...
Terms matched: 3  -  Score: 674  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2025-1216.pdf
9. web_announcement_2415_20210122.pdf
... /Substance Abuse Services. For Behavioral Health Community Networks (BHCNs,) Provider Type 14 Specialty 814 Both programs must be prior authorized. The authorizations are submitted ...
Terms matched: 1  -  Score: 38  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_2415_20210122.pdf
10. NV_EnrollmentChecklist_PT14_Flex.pdf
... Provider Enrollment Checklist Provider Type 14: Behavioral Health Outpatient Treatment Specialty 814: Behavioral Health Community Network Entity/Agency/Group Please refer to the Provider Enrollment ...
Terms matched: 1  -  Score: 96  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT14_Flex.pdf
Result Pages: 1 2 3 4 5 6 7 8 9 10 11 Next >>

Search powered by Zoom Search Engine



Search took 0.069 seconds