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.

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1. NV_BillingGuidelines_PT22-attachmentB_01-29-26.pdf
... D2751 Crown - porcelain fused to predominantly base Once in a lifetime per tooth 01 metal D2791 Crown - full cast predominantly base metal 01 Once in a lifetime per ...
Terms matched: 1  -  Score: 63  -  02 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_01-29-26.pdf
2. NV_BillingGuidelines_PT22-attachmentB.pdf
... D2751 Crown - porcelain fused to predominantly base Once in a lifetime per tooth 01 metal D2791 Crown - full cast predominantly base metal 01 Once in a lifetime per ...
Terms matched: 1  -  Score: 63  -  02 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB.pdf
3. NV_BillingGuidelines_PT22-attachmentA.pdf
... 00 02 02 Once in a lifetime per tooth D2721 CROWN RESIN W/ BASE METAL 00 02 02 Once in a lifetime per tooth D2740 CROWN PORCELAIN/CERAMIC ...
Terms matched: 1  -  Score: 72  -  29 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
4. NV_BillingGuidelines_PT60.pdf
... SHS) Dental Services Code Modifier Description Service Limitations D2721 Crown resin with predominantly base metal. • Once in a lifetime per tooth D2740 Crown porcelain/ ...
Terms matched: 1  -  Score: 37  -  16 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60.pdf
5. NV_BillingGuidelines_PT60_2024-0828.pdf
... • Once in a lifetime per tooth D2721 Crown resin with predominantly base metal. • Once in a lifetime per tooth D2740 Crown porcelain/ ...
Terms matched: 1  -  Score: 37  -  16 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2024-0828.pdf
6. NV_BillingGuidelines_PT22-attachmentB_12-08-25.pdf
... D2751 Crown - porcelain fused to predominantly base Once in a lifetime per tooth 01 metal D2791 Crown - full cast predominantly base metal 01 Once in a lifetime per ...
Terms matched: 1  -  Score: 63  -  15 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_12-08-25.pdf
7. NV_BillingGuidelines_PT22-attachmentB_10-06-25.pdf
... D2751 Crown - porcelain fused to predominantly base Once in a lifetime per tooth 00 metal D2791 Crown - full cast predominantly base metal 00 Once in a lifetime per ...
Terms matched: 1  -  Score: 63  -  08 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_10-06-25.pdf
8. web_announcement_3695_20250813.pdf
... (Sealant repair per tooth) • D5223 (Dentures Immediate Maxillary Part Metal) • D5224 (Dentures Immediate Mandible Part Metal) Claims for ...
Terms matched: 1  -  Score: 37  -  13 Aug 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3695_20250813.pdf
9. 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
10. HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
... 3 ): 427-37. 104. Crouse JR 3rd, Raichlen JS, Riley WA, Evans GW, Palmer MK, O'Leary DH, et al. Effect ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
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