Nevada Medicaid and Nevada Check Up News (First 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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NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. Pacific Time on Monday, May 11, 2026, through 4 a.m. Pacific Time on Tuesday, May 12, 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 March 2026 Professional Claims. See Web Announcement 3894.

    Top Prior Authorization Denial Reasons for the First Quarter of 2026. See Web Announcement 3900.

    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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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.

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1. DME_Enrollment_Moratorium_Exemption_Request.pdf
... . 1. APPLICANT INFORMATION DMEPOS Facility Name NPI Phone Number Email Address Service Address City State Zip Contact Person Title and Phone Number 2. EXPLANATION FOR EXEMPTION REQUEST ...
Terms matched: 1  -  Score: 21  -  30 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/DME_Enrollment_Moratorium_Exemption_Request.pdf
2. Provider_Enrollment_Information_Booklet.pdf
... Recipient Civil Rights Officer Division of Nevada Medicaid, 4070 Silver Sage Drive, Carson City, NV 89701. Visit the “Required Enrollment Documentsâ€section of ...
Terms matched: 1  -  Score: 153  -  21 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
3. NV_Billing_General_20260101.pdf
... Catchment area providers cannot enroll as an urgent/emergency provider. Catchment Areas State Cities/Zip Codes Bullhead City: 86426, 86427, 86429, 86430, ...
Terms matched: 1  -  Score: 75  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20260101.pdf
4. NV_Billing_General.pdf
... Catchment area providers cannot enroll as an urgent/emergency provider. Catchment Areas State Cities/Zip Codes Bullhead City: 86426, 86427, 86429, 86430, ...
Terms matched: 1  -  Score: 75  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
5. NV_EVS_User_Manual_Ch1.pdf
... Healthcare but has the ability to switch to an available provider, Dr. David Green. By checking on David Green, the delegate will no longer be logged ...
Terms matched: 1  -  Score: 24  -  18 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EVS_User_Manual_Ch1.pdf
6. NV_EnrollmentCriteria_PT17_Spec188.pdf
... of zoning approval (conditional use verification form or special use permit from the local city or county jurisdiction) . b. Current Business License. c. Lease ...
Terms matched: 1  -  Score: 20  -  23 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentCriteria_PT17_Spec188.pdf
7. NV_Billing_General_20251215.pdf
... Catchment area providers cannot enroll as an urgent/emergency provider. Catchment Areas State Cities/Zip Codes Bullhead City: 86426, 86427, 86429, 86430, ...
Terms matched: 1  -  Score: 75  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251215.pdf
8. NV_Billing_General_20251017.pdf
... Catchment area providers cannot enroll as an urgent/emergency provider. Catchment Areas State Cities/Zip Codes Bullhead City: 86426, 86427, 86429, 86430, ...
Terms matched: 1  -  Score: 75  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251017.pdf
9. NV_Enrollment_AnnualAttestation_PT63.pdf
... form. • Name of the PRTF • PRTF address, city, state, and ZIP Code • PRTF telephone number †...
Terms matched: 1  -  Score: 37  -  02 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Enrollment_AnnualAttestation_PT63.pdf
10. FA-92.pdf
... SECTION I Recipient Name: Recipient Medicaid ID: Date of Birth: Address: City/State/Zip: Email: Phone #: SECTION II I and ...
Terms matched: 1  -  Score: 23  -  24 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-92.pdf
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