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 November 2025 Professional Claims. See Web Announcement 3789.

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

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1. 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
2. Immunomodulators_2015-0930.pdf
... , plus short-term glucocorticoids) as first-line treatment as soon Rheumatoid Arthritis as possible, ideally within three months of the onset of persistent National Clinical symptoms. Guideline for ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2015-0930.pdf
3. Immunomodulators_2015-0812.pdf
... , plus short-term glucocorticoids) as first-line treatment as soon Rheumatoid Arthritis as possible, ideally within three months of the onset of persistent National Clinical symptoms. Guideline for ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2015-0812.pdf
4. Immunomodulators_2014-0918.pdf
... , plus short-term glucocorticoids) as first-line treatment as soon Rheumatoid Arthritis as possible, ideally within three months of the onset of persistent National Clinical symptoms. Guideline for ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2014-0918.pdf
5. Immunomodulators_2013-1218.pdf
... , plus short-term glucocorticoids) as first-line treatment National Clinical as soon as possible, ideally within three months of the onset of Guideline for persistent symptoms. Management and ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2013-1218.pdf
6. Immunomodulators_2013-0812.pdf
... , plus short-term glucocorticoids) as first-line treatment National Clinical as soon as possible, ideally within three months of the onset of Guideline for persistent symptoms. Management and ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2013-0812.pdf
7. Immunomodulators.pdf
... , plus short-term glucocorticoids) as first-line treatment National Clinical as soon as possible, ideally within three months of the onset of Guideline for persistent symptoms. Management and ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators.pdf
8. Immunomodulators 2014 11.pdf
... , plus short-term glucocorticoids) as first-line treatment as soon Rheumatoid Arthritis as possible, ideally within three months of the onset of persistent National Clinical symptoms. Guideline for ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators%202014%2011.pdf
9. HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
... JR 3rd, Raichlen JS, Riley WA, Evans GW, Palmer MK, ... Incremental Decrease through Aggressive Lipid Lowering [IDEAL] study) . Am J Cardiol ...
Terms matched: 2  -  Score: 71  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
10. HMG CoA Reductase Inhibitors.pdf
... JR 3rd, Raichlen JS, Riley WA, Evans GW, Palmer MK, ... Incremental Decrease through Aggressive Lipid Lowering [IDEAL] study) . Am J Cardiol ...
Terms matched: 2  -  Score: 71  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG%20CoA%20Reductase%20Inhibitors.pdf
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