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]

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1. PT_34_Therapy_Tip_Sheet.pdf
... Authorization Nevada Medicaid Criteria YouTube: PA Search Overview Provider Day Calculator Web Portal Fee WA 1728 Schedule (FA-7 Search Information) Nevada WA 3609 Medicaid (Medical Record ...
Terms matched: 1  -  Score: 35  -  12 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PT_34_Therapy_Tip_Sheet.pdf
2. Known_Issues.pdf
... 06/2023 02/21/2023 NA Inpatient) are being denied or cut back • Once resolved, claims will be inappropriately with error codes ...
Terms matched: 1  -  Score: 11  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Known_Issues.pdf
3. Error_Code_to_EOB_to_ANSI.pdf
... REMARK_CODE_DESCRIPTION 247 MAXIMUM NUMBER OF CLAIM DETAILS 5310 The detail lines are missing or the ... REQUIRED - HDR 383 Length of Stay Cut Back by Date of 252 An attachment ...
Terms matched: 2  -  Score: 42  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
4. NV_BillingGuidelines_PT60_2025-1216.pdf
... SHS) Dental Services Code Modifier Description Service Limitations D2721 Crown resin with predominantly base metal. • Once in a lifetime per tooth D2740 Crown porcelain/ ...
Terms matched: 1  -  Score: 37  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2025-1216.pdf
5. NV_BillingGuidelines_PT60.pdf
... SHS) Dental Services Code Modifier Description Service Limitations D2721 Crown resin with predominantly base metal. • Once in a lifetime per tooth D2740 Crown porcelain/ ...
Terms matched: 1  -  Score: 37  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60.pdf
6. NV_BillingGuidelines_PT22-attachmentA.pdf
... tooth D2721 CROWN RESIN W/ BASE METAL 00 02 02 Once in a lifetime ... TMJ RECONSTRUCTION 01 NC 01 D7860 TMJ CUTTING INTO JOINT 00 NC 00 D7865 TMJ ...
Terms matched: 2  -  Score: 112  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
7. NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
... tooth D2721 CROWN RESIN W/ BASE METAL 00 02 02 Once in a lifetime ... TMJ RECONSTRUCTION 01 NC 01 D7860 TMJ CUTTING INTO JOINT 00 NC 00 D7865 TMJ ...
Terms matched: 2  -  Score: 112  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
8. NV_BillingGuidelines_PT22-attachmentB_01-29-26.pdf
... Once in a lifetime per tooth 01 metal D2791 Crown - full cast predominantly base ... D7250 Removal of residual tooth roots (cutting procedure) Once in a lifetime 00 ...
Terms matched: 2  -  Score: 68  -  02 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_01-29-26.pdf
9. NV_BillingGuidelines_PT22-attachmentB.pdf
... Once in a lifetime per tooth 01 metal D2791 Crown - full cast predominantly base ... D7250 Removal of residual tooth roots (cutting procedure) Once in a lifetime 00 ...
Terms matched: 2  -  Score: 68  -  02 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB.pdf
10. NV_BillingGuidelines_PT60_2024-0828.pdf
... • Once in a lifetime per tooth D2721 Crown resin with predominantly base metal. • Once in a lifetime per tooth D2740 Crown porcelain/ ...
Terms matched: 1  -  Score: 37  -  16 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2024-0828.pdf
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