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]

Featured Links

Nevada Medicaid EVV

Authorization Criteria

Nevada Medicaid Home

EDI Information

PWP User Manual

Provider Enrollment

Provider Login (PWP)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

Self-Paced Training Videos

Notifications

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 August 2026 Professional Claims. See Web Announcement 4009.

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.

Provider Links

Nevada Medicaid EVV

Billing Information

Forms

Provider Enrollment

Provider Newsletters

Provider Training

Scheduled Site Maintenance

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.

Monday - Friday
12:00AM - 12:30AM

Monday
8:00PM - 12:00AM

Enhance your search:
  • Note that you can use "*" and "?" as wildcards.

  • Enclosing more than one word in double quotes ("search engine") will search for the exact phrase.
Example Zoom search template page

Search this site

Enter one or more keywords to search for using the Zoom Search Engine.
Note that '*' and '?' wildcards are supported.



Match:

Search results for: wa 0852 2611 9277 jasa plafon tahan api murah jatisampurna kota bekasi

No results found containing all search terms. 346 results found containing some search terms.

35 pages of results.
Sort by relevance / Sorted by date ▼
1. NV_Billing_General_20260710.pdf
... 2007 Large number of changes and updates including: All • NPI/API Updates • New Frequently Asked Questions throughout the manual • ...
Terms matched: 1  -  Score: 38  -  08 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20260710.pdf
2. NV_Billing_General.pdf
... 2007 Large number of changes and updates including: All • NPI/API Updates • New Frequently Asked Questions throughout the manual • ...
Terms matched: 1  -  Score: 38  -  08 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
3. NCPDP_Encounter_Companion_Guide.pdf
... = One occurrence 202-B2 Service Provider ID A/N 2 01 = NPI/API Qualifier 05 = Medicaid Note: 05 is only valid for “Atypicalâ ...
Terms matched: 1  -  Score: 11  -  15 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NCPDP_Encounter_Companion_Guide.pdf
4. Known_Issues.pdf
... , individual, reprocessed. subsequent) and 97804-(Medical nutrition ther- apy, group) are denying incorrectly with error code 5549-(16 Per ...
Terms matched: 1  -  Score: 31  -  01 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Known_Issues.pdf
5. NV_EVS_User_Manual_Ch8.pdf
... Number = Provider ID (National Provider Identifier/Atypical Provider Identifier [NPI/API])+ Recipient ID+ Date of Service+ Sequence Number (four ...
Terms matched: 1  -  Score: 52  -  19 Aug 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EVS_User_Manual_Ch8.pdf
6. NV_EVS_User_Manual_Ch3.pdf
... €¢ Reason for the appeal. • Provider name and NPI/API. • The claim’s ICN (claim number) ...
Terms matched: 1  -  Score: 24  -  19 Aug 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EVS_User_Manual_Ch3.pdf
7. Encounter_NET_837P_Companion_Guide_-_Mod.pdf
... 2010BB REF Billing Provider This loop is used Secondary Identification when billing Atypical Provider (API) number. If 2010BB REF01="G2";"LU" ...
Terms matched: 1  -  Score: 11  -  04 Aug 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter_NET_837P_Companion_Guide_-_Mod.pdf
8. Encounter-Professional_837P_MCO_Companion_Guide_-_Mod.pdf
... REF Billing Provider This loop is used when billing Secondary with an Atypical Provider (API) Identification number. 140 2010BB REF01 Reference G2, LU Identification Qualifier Provider ...
Terms matched: 1  -  Score: 11  -  04 Aug 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter-Professional_837P_MCO_Companion_Guide_-_Mod.pdf
9. Web_Portal_QRG_20120110.pdf
... €6) Enter required fields: First Name, Last Name, NPI/API, Tax ID and Zip Code (of the servicing provider); then ...
Terms matched: 1  -  Score: 23  -  24 Jul 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Web_Portal_QRG_20120110.pdf
10. FA-24-I.pdf
... be providing the PCS to the recipient, including Name, City, NPI/API, Phone and Fax numbers. PERSON COMPLETING/SUBMITTING THIS REQUEST Provide the ...
Terms matched: 1  -  Score: 20  -  21 Jul 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-24-I.pdf
Result Pages: 1 2 3 4 5 6 7 8 9 10 11 Next >>

Search powered by Zoom Search Engine



Search took 0.069 seconds