Nevada Medicaid and Nevada Check Up News (Third 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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Top 10 Claim Denial Reasons and Resolutions/Workarounds for October 2025 Professional Claims. See Web Announcement 3767.

Top Prior Authorization Denial Reasons for the Third Quarter of 2025. See Web Announcement 3758.

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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1. Error_Code_to_EOB_to_ANSI.pdf
... REMARK_CODE_DESCRIPTION 247 MAXIMUM NUMBER OF CLAIM DETAILS 5310 The detail lines are missing or the ... . 3416 NET TIME REQUIRED - ACTUAL DROP- 2403 NET Time Required - Actual ...
Terms matched: 2  -  Score: 31  -  04 Nov 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
2. NV_EVS_User_Manual_Ch3.pdf
... " If the claim is related to accident, select the accident type from the drop- down list • Accident Date â€" Enter the date ...
Terms matched: 1  -  Score: 74  -  17 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EVS_User_Manual_Ch3.pdf
3. FA-27B.pdf
... brush over a soft towel or the sink that is partially filled with water. Dropping the denture on a hard surface can result in breakage of the pink flange ...
Terms matched: 1  -  Score: 20  -  16 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-27B.pdf
4. web_announcement_3623_20250429.pdf
... Provider Flex Overview training session. Beginning May 1, 2025, the sessions will drop from eight (8 ) to four (4 ) sessions per day. ...
Terms matched: 1  -  Score: 23  -  29 Apr 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3623_20250429.pdf
5. web_announcement_3560_20250220.pdf
... provider website For more information about PT 93, see the following web announcements (WA): • WA 3383 • WA 3452 †...
Terms matched: 1  -  Score: 124  -  20 Feb 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3560_20250220.pdf
6. web_announcement_3477_20241108.pdf
... and less time until shutdown after a battery alert occurs. Pumps that have been dropped, bumped, or experienced another physical impact may have damaged electrical components causing ...
Terms matched: 1  -  Score: 39  -  08 Nov 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3477_20241108.pdf
7. NV_OPE_User_Manual_Ch2.pdf
... pv08/15/2024) Taxonomy: Select the appropriate taxonomy code from the drop down list. A taxonomy will be required for all provider types. Online ...
Terms matched: 1  -  Score: 24  -  15 Oct 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_OPE_User_Manual_Ch2.pdf
8. Inhaled Antimuscarinics.pdf
... treatment period (P <0.05) . In both groups, there was a drop in the use of rescue albuterol, the reduction being greater in the tiotropium ...
Terms matched: 1  -  Score: 12  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Inhaled%20Antimuscarinics.pdf
9. Inhaled Antimuscarinics 2012 12.pdf
... treatment period (P <0.05) . In both groups, there was a drop in the use of rescue albuterol, the reduction being greater in the tiotropium ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Inhaled%20Antimuscarinics%202012%2012.pdf
10. Inhaled Anticholinergics.pdf
... treatment period (P <0.05) . In both groups, there was a drop in the use of rescue albuterol, the reduction being greater in the tiotropium ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Inhaled%20Anticholinergics.pdf
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