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 July 2026 Professional Claims. See Web Announcement 3983.

Top Prior Authorization Denial Reasons for the Second Quarter of 2026. See Web Announcement 3978.

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. NV_BillingGuidelines_PT22-attachmentA_03-23-26.pdf
... ARRESTING 00 00 NC 1 service unit per 6 months per tooth MEDICAMENT APPLICATION - SILVER DIAMIDE FLUORIDE APPLICATION D1355 CARIES PREVENTIVE MEDICAMENT 00 00 NC 1 service unit per ...
Terms matched: 1  -  Score: 27  -  01 Jul 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_03-23-26.pdf
2. NV_BillingGuidelines_PT22-attachmentA.pdf
... ARRESTING 00 02 01 1 service unit per 6 months per tooth MEDICAMENT APPLICATION - SILVER DIAMIDE $1 ,000 Limitation for Adults 21 years and older FLUORIDE APPLICATION ...
Terms matched: 1  -  Score: 27  -  01 Jul 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
3. NV_BillingGuidelines_PT60.pdf
... unit per 36 months D1354 Interim caries arresting medicament application â€" per tooth silver diamide fluoride • Limit of 1 unit per 6 months per tooth ...
Terms matched: 1  -  Score: 11  -  19 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60.pdf
4. NV_BillingGuidelines_PT60_2026-0429.pdf
... unit per 36 months D1354 Interim caries arresting medicament application â€" per tooth silver diamide fluoride • Limit of 1 unit per 6 months per tooth ...
Terms matched: 1  -  Score: 11  -  19 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2026-0429.pdf
5. 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
6. NV_BillingGuidelines_PT60_2025-1216.pdf
... unit per 36 months D1354 Interim caries arresting medicament application â€" per tooth silver diamide fluoride • Limit of 1 unit per 6 months per tooth ...
Terms matched: 1  -  Score: 11  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2025-1216.pdf
7. Provider_Enrollment_Information_Booklet.pdf
... • Mail: Recipient Civil Rights Officer Division of Nevada Medicaid, 4070 Silver Sage Drive, Carson City, NV 89701. Visit the “Required ...
Terms matched: 1  -  Score: 116  -  21 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
8. NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
... ARRESTING 00 00 NC 1 service unit per 6 months per tooth MEDICAMENT APPLICATION - SILVER DIAMIDE FLUORIDE APPLICATION D1355 CARIES PREVENTIVE MEDICAMENT 00 00 NC 1 service unit per ...
Terms matched: 1  -  Score: 27  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
9. Nevada Medicaid FAQS.pdf
... €" (800) 962-8074 Molina Healthcare of Nevada - (833) 685-2102 Silver Summit Health Plan â€" (844) 366-2880 Dental Benefits: Liberty ...
Terms matched: 1  -  Score: 81  -  17 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Nevada%20Medicaid%20FAQS.pdf
10. NV_BillingGuidelines_PT60_2024-0828.pdf
... unit per 36 months D1354 Interim caries arresting medicament application â€" per tooth silver diamide fluoride • Limit of 1 unit per 6 months per tooth ...
Terms matched: 1  -  Score: 11  -  16 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2024-0828.pdf
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