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. NV_Billing_General_20260101.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 29  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20260101.pdf
2. NV_Billing_General.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 14  -  20 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
3. NV_Billing_General_20251215.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 29  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251215.pdf
4. NV_Billing_General_20251017.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 29  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251017.pdf
5. NV_Billing_General_20250801.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 29  -  17 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20250801.pdf
6. NV_Billing_General_20250220.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 29  -  29 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20250220.pdf
7. EVS_FAQ.pdf
... : about any current System https://www.medicaid.nv.gov/Downloads/provider/Modernization%20System_Known Issues? %20Issues.pdf. This document will provide the issue as ...
Terms matched: 1  -  Score: 20  -  15 Apr 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/EVS_FAQ.pdf
8. NV_Billing_General_20250205.pdf
... impacted 02/01/2019 Updates made throughout per the implementation of the All modernized Medicaid Management Information System (MMIS) 03/18/2019 Updates made ...
Terms matched: 1  -  Score: 29  -  21 Feb 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20250205.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. Encounter-Dental_837D_MCO_Companion_Guide_-_Mod.pdf
... Companion Guide is valid to use for the certification/testing to transition to the modernized MMIS and upon implementation of the MMIS Modernization Project February 6, 2025 Medicaid ...
Terms matched: 1  -  Score: 28  -  06 Feb 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter-Dental_837D_MCO_Companion_Guide_-_Mod.pdf
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