Nevada Medicaid and Nevada Check Up News (Third 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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Provider Flex is now LIVE for all provider types!
For information and training opportunities on this exciting new enrollment tool, please visit our Provider Flex page

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Known System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2025 Professional Claims. See Web Announcement 3789.

Top Prior Authorization Denial Reasons for the Third Quarter of 2025. See Web Announcement 3758.

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. 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: 162  -  23 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
2. 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  -  15 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
3. 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
4. FA-93.pdf
... SECTION I Recipient Name: Recipient Medicaid ID: Date of Birth: Address: City/State/Zip: Email: Phone #: SECTION II I/ ...
Terms matched: 1  -  Score: 23  -  24 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-93.pdf
5. 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
6. Benefit_Enrollment_and_Maintenance_(834).pdf
... 2100A N302 Subscriber Address (Line 2) 1/55 69 2100A N4 Member City, State, Zip Code 69 2100A N401 Subscriber City 2/30 69 ...
Terms matched: 1  -  Score: 62  -  20 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Benefit_Enrollment_and_Maintenance_(834).pdf
7. NV_Billing_General_20250801.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  -  17 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20250801.pdf
8. NV_EVS_User_Manual_Ch7.pdf
... Search Provider The following fields are displayed on the Search Provider page: 1. City 2. State 3. Zip Code 4. County 5. NPI 6 ...
Terms matched: 1  -  Score: 52  -  17 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EVS_User_Manual_Ch7.pdf
9. 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  -  17 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EVS_User_Manual_Ch1.pdf
10. web_announcement_3711_20250904.pdf
... Library Pershing County Library 280 S. Green Valley Parkway 1125 Central Avenue Henderson, ... 1919 College Parkway, Suite 120 Carson City, Nevada 89706 Please use the teleconference ...
Terms matched: 2  -  Score: 134  -  04 Sep 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3711_20250904.pdf
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