Nevada Medicaid and Nevada Check Up News (Fourth 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]

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. to midnight Pacific Time on Sunday, March 22, 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 February 2026 Professional Claims. See Web Announcement 3863.

Top Prior Authorization Denial Reasons for the Fourth Quarter of 2025. See Web Announcement 3830.

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 0821 7001 0763 fortress smartlock mobile app sirenja kabupaten donggala sulawesi tengah

No results found containing all search terms. 381 results found containing some search terms.

39 pages of results.
Sort by relevance / Sorted by date ▼
1. Provider_Enrollment_Information_Booklet.pdf
... Specialized Foster Care Crisis Services Specialty type codes: • 031: Designated Mobile Crisis Team (DMCT) 87 • 032: Certified Community Behavioral ...
Terms matched: 1  -  Score: 90  -  27 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
2. NV_Billing_General.pdf
... including: Throughout Removed references to Atypical Provider Identifier (API) . document NVMedicaid App (for recipients) description added to Chapter 3. Updated Managed Care Organization ...
Terms matched: 1  -  Score: 39  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
3. NV_Billing_General_20260101.pdf
... including: Throughout Removed references to Atypical Provider Identifier (API) . document NVMedicaid App (for recipients) description added to Chapter 3. Updated Managed Care Organization ...
Terms matched: 1  -  Score: 39  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20260101.pdf
4. Nevada Medicaid FAQS.pdf
... €" (702) 668-4200 You can also sign up for the Nevada Medicaid App, which will show you your assigned plan and if it is active. ...
Terms matched: 1  -  Score: 168  -  17 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Nevada%20Medicaid%20FAQS.pdf
5. NV_BillingGuidelines_PT14.pdf
... include psychotherapy, No All Levels Psychotherapy patient and/or family LMFT, LCPC mobilization of resources and Requirements above implementation of psychotherapeutic First 60 minutes, face- ...
Terms matched: 1  -  Score: 23  -  14 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14.pdf
6. NV_BillingGuidelines_PT14_online_011226.pdf
... , No All Levels patient and/or family face-to-face; bill one LCSW, mobilization of resources and unit per day LMFT, LCPC implementation of psychotherapeutic interventions. ...
Terms matched: 1  -  Score: 23  -  14 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14_online_011226.pdf
7. NV_BillingGuidelines_PT22-attachmentA.pdf
... 13 D1206 TOPICAL FLUORIDE VARNISH 00 02 NC 1 unit per 6 months D1208 TOPICAL APP FLUORID EX VRNSH 00 02 NC 1 unit per 6 months D1351 DENTAL SEALANT ...
Terms matched: 1  -  Score: 14  -  29 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
8. NV_BillingGuidelines_PT14_online_030525.pdf
... , No All Levels patient and/or family face-to-face; bill one LCSW, mobilization of resources and unit per day LMFT, LCPC implementation of psychotherapeutic interventions. ...
Terms matched: 1  -  Score: 25  -  12 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14_online_030525.pdf
9. Team_Territories.pdf
... 86 â€" Specialized Foster Care • 87 â€" Designated Mobile Crisis Team, Crisis Stabilization Center • 93 â€" Substance ...
Terms matched: 1  -  Score: 20  -  06 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Team_Territories.pdf
10. NV_Billing_General_20251215.pdf
... including: Throughout Removed references to Atypical Provider Identifier (API) . document NVMedicaid App (for recipients) description added to Chapter 3. Updated Managed Care Organization ...
Terms matched: 1  -  Score: 39  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251215.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