Nevada Medicaid and Nevada Check Up News (Second 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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IMPORTANT: Nevada Medicaid is conducting a swift revalidation effort on high risk providers. If selected, you will receive a revalidation notice with instructions through the standard communication process. See Web Announcement 3935 for more information.

Known System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2026 Professional Claims. See Web Announcement 4031.

Top Prior Authorization Denial Reasons for the Second Quarter of 2026. See Web Announcement 4053.

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.

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1. MFA_FAQ.pdf
... an “undefined userâ€or • Clear ALL browsing history, exit the browser, and then relaunch it and “unexpected errorâ€message ...
Terms matched: 1  -  Score: 21  -  23 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/MFA_FAQ.pdf
2. NV_EDI_Trading_Partner_User_Guide.pdf
... , which will provide further instructions for completing the registration process. 18. Click Exit. 19. Note your Trading Partner ID and then click Exit 16 17 ...
Terms matched: 1  -  Score: 35  -  15 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EDI_Trading_Partner_User_Guide.pdf
3. 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
4. FA-30.pdf
... (this section must be complete; more than one box can be checked) Exit Seeking/Flight Risk Behavior Wandering Behavior Violent Behavior Danger to Self Danger to ...
Terms matched: 1  -  Score: 23  -  16 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-30.pdf
5. FA-30-I.pdf
... any checked items if they are not included in the attached clinical information. o Exit Seeking/Flight Risk Behavior o Wandering Behavior o Violent Behavior o Danger to ...
Terms matched: 1  -  Score: 20  -  16 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-30-I.pdf
6. 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
7. NV_Medicaid_News_2023-03.pdf
... titled “Show originalâ€on the top left side of the webpage. Exit the translation menu by clicking the X on the top right of the translation ...
Terms matched: 1  -  Score: 20  -  03 Apr 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Medicaid_News_2023-03.pdf
8. web_announcement_Volume 20 Issue 1_20230331.pdf
... titled “Show originalâ€on the top left side of the webpage. Exit the translation menu by clicking the X on the top right of the translation ...
Terms matched: 1  -  Score: 20  -  31 Mar 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_Volume%2020%20Issue%201_20230331.pdf
9. web_announcement_3018_20230224.pdf
... titled “Show originalâ€on the top left side of the webpage. Exit the translation menu by clicking the X on the top right of the translation ...
Terms matched: 1  -  Score: 20  -  24 Feb 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3018_20230224.pdf
10. web_announcement_2843_20220714.pdf
... JCM.00168-08. Epub 2008 Jul 9 4. Abedi GR, Watson JT, Nix WA, Oberste SM, Gerber SI. Enterovirus and Parechovirus Surveillance â€" ...
Terms matched: 1  -  Score: 20  -  15 Jul 2022  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_2843_20220714.pdf
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