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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Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2025 Professional Claims. See Web Announcement 3745.

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

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1. 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
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: 29  -  17 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
3. 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
4. FA-1B.pdf
... place of residency Hospital Nursing Facility ICF / MR Group Home Assisted Living Private Home Apartment Temporary Lodging Other (specify): ____ Length of Residency: ____ ...
Terms matched: 1  -  Score: 16  -  09 May 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-1B.pdf
5. 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
6. 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
7. 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
8. Encounter-Professional_837P_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-Professional_837P_MCO_Companion_Guide_-_Mod.pdf
9. Encounter-Institutional_837I_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-Institutional_837I_MCO_Companion_Guide_-_Mod.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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