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]

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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 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
... Service Payment Information REF), if present. Updated: 03/09/2026 Page 1 of 180 Claim Error/EOB/ANSI Code Crosswalk ERROR_CODE ERROR_CODE_DESCRIPTION ...
Terms matched: 1  -  Score: 547  -  09 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
2. NV_BillingGuidelines_PT17_Spec181.pdf
... billing guidelines. For FQHC Providers Rendering Dental Services Only, Effective January 1, 2026 - Federal Medicaid regulations allow State Medicaid Agencies to disperse certain supplemental payments when ...
Terms matched: 1  -  Score: 231  -  06 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT17_Spec181.pdf
3. NV_BillingGuidelines_PT17_Specialty_181_20260102.pdf
... billing guidelines. For FQHC Providers Rendering Dental Services Only, Effective January 1, 2026 - Federal Medicaid regulations allow State Medicaid Agencies to disperse certain supplemental payments when ...
Terms matched: 1  -  Score: 194  -  06 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT17_Specialty_181_20260102.pdf
4. ABA_FAQ.pdf
... , if applicable, to the authorization request then submit. 03/03/2026 Page | 1 As a provider filling out an FA-29A form for a new ...
Terms matched: 1  -  Score: 55  -  03 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/ABA_FAQ.pdf
5. NV_BillingGuidelines_PT25-41.pdf
... Non-covered options must be listed separately on the invoice. Updated 03/03/2026 Provider Type 25 and 41 Billing Guide Pv12/18/2024 1/ ...
Terms matched: 1  -  Score: 78  -  03 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT25-41.pdf
6. Provider_Enrollment_Information_Booklet.pdf
... A: Definitions .... 46 Provider Enrollment Information Booklet i 02/24/2026 Welcome! Thank you for your interest in the Nevada Medicaid and Nevada Check ...
Terms matched: 1  -  Score: 352  -  27 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
7. FA-1D.pdf
... for a modification? Yes No FA-1D Page 1 of 3 02/23/2026 (pv 04/24/2025) Nevada Medicaid and Nevada Check Up ...
Terms matched: 1  -  Score: 54  -  23 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-1D.pdf
8. web_announcement_3816_20260112.pdf
... bill these codes. See Web Announcement 3847 for more information. January 12, 2026 Nevada Medicaid Web Announcement 3816 Attention Provider Types 24 (Advanced Practice Registered Nurses ...
Terms matched: 1  -  Score: 38  -  23 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3816_20260112.pdf
9. NV_Billing_General.pdf
... for Nevada Medicaid and Nevada Check Up AND NEVADA CHECK UP Updated February 20, 2026 Change history Date (mm/dd/yyyy) Description of changes Pages ...
Terms matched: 1  -  Score: 464  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
10. NV_Billing_General_20260101.pdf
... for Nevada Medicaid and Nevada Check Up AND NEVADA CHECK UP Updated January 1, 2026 Change history Date (mm/dd/yyyy) Description of changes Pages ...
Terms matched: 1  -  Score: 358  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20260101.pdf
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