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 borongan renovasi rumah tipe 60 mijen semarang

No results found containing all search terms. 1399 results found containing some search terms.

140 pages of results.
Sort by relevance / Sorted by date ▼
1. Known_Issues.pdf
... their claims. • The EDI Companion Guide will be updated appropriately. 60 Claims, Some institutional claims are being denied • Provider: No ...
Terms matched: 1  -  Score: 50  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Known_Issues.pdf
2. Error_Code_to_EOB_to_ANSI.pdf
... REMARK_CODE_DESCRIPTION 247 MAXIMUM NUMBER OF CLAIM DETAILS 5310 The detail lines are missing or the ... . condition. 360 ADMITTING DIAGNOSIS MISSING 60 Admit Diagnosis is missing or invalid. ...
Terms matched: 2  -  Score: 173  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
3. NV_BillingGuidelines_PT60.pdf
... Provider Type 60 Billing Guide School Health Services (SHS) Table of Contents Program Overview .... 2 Student Requirements .... 2 State Policy .... 2 ...
Terms matched: 1  -  Score: 547  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60.pdf
4. NV_BillingGuidelines_PT60_2025-1216.pdf
... Provider Type 60 Billing Guide School Health Services (SHS) Table of Contents Program Overview .... 2 Student Requirements .... 2 State Policy.... 2 Service ...
Terms matched: 1  -  Score: 547  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2025-1216.pdf
5. Provider_Enrollment_Information_Booklet.pdf
... Private Case Management Services • 959: Facility Based Assisted Living School Based 60 Specialty type code: • 960: School Based Residential Treatment Center ...
Terms matched: 1  -  Score: 36  -  21 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
6. NV_BillingGuidelines_PT20-24-77.pdf
... 70 minutes in the first calendar month 99493 Subsequent Psychiatric Collaborative Care Management, first 60 minutes in a subsequent month 99494 (Add-on Code) Initial or Subsequent Psychiatric ...
Terms matched: 1  -  Score: 14  -  03 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT20-24-77.pdf
7. NV_BillingGuidelines_PT20-24-77_online_011226_to_040326.pdf
... 70 minutes in the first calendar month 99493 Subsequent Psychiatric Collaborative Care Management, first 60 minutes in a subsequent month 99494 (Add-on Code) Initial or Subsequent Psychiatric ...
Terms matched: 1  -  Score: 14  -  03 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT20-24-77_online_011226_to_040326.pdf
8. NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
... 1 unit per 6 months D1351 DENTAL SEALANT PER TOOTH 00 NC NC 1 per 60 months, limited to FULLY erupted permanent pre- molars and 1st and 2nd ...
Terms matched: 1  -  Score: 309  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
9. NV_BillingGuidelines_PT22-attachmentA.pdf
... 1 unit per 6 months D1351 DENTAL SEALANT PER TOOTH 00 NC NC 1 per 60 months, limited to FULLY erupted permanent pre- molars and 1st and 2nd ...
Terms matched: 1  -  Score: 309  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
10. NV_BillingGuidelines_PT25-41.pdf
... 12 months per eye per recipient. The service limit for V2628 is once every 60 months per eye per recipient. • For eyeglasses, recipients age ...
Terms matched: 1  -  Score: 21  -  03 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT25-41.pdf
Result Pages: 1 2 3 4 5 6 7 8 9 10 11 Next >>

Search powered by Zoom Search Engine



Search took 0.066 seconds