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. Provider_Enrollment_Information_Booklet.pdf
... €¢ Mail: Recipient Civil Rights Officer Division of Nevada Medicaid, 4070 Silver Sage Drive, Carson City, NV 89701. Visit the “Required Enrollment ...
Terms matched: 1  -  Score: 116  -  27 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
2. NV_BillingGuidelines_PT34.pdf
... an aerosol generator, nebulizer, metered dose inhaler or IPPB device 94667 Manipulation chest wall, such as cupping, percussing, Required and vibration to facilitate lung function ...
Terms matched: 1  -  Score: 24  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT34.pdf
3. NV_BillingGuidelines_PT34_2023-1121.pdf
... an aerosol generator, nebulizer, metered dose inhaler or IPPB device 94667 Manipulation chest wall, such as cupping, percussing, Required and vibration to facilitate lung function ...
Terms matched: 1  -  Score: 24  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT34_2023-1121.pdf
4. web_announcement_3711_20250904.pdf
... wish to provide a written comment may submit their comment via mail to 4070 Silver Sage Drive, Carson City, Nevada 89701 or via email to documentcontrol@nvha.nv.gov ...
Terms matched: 1  -  Score: 59  -  04 Sep 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3711_20250904.pdf
5. web_announcement_3684_20250728.pdf
... date of receipt are encouraged. Appeal Address: Administrator Nevada Medicaid, 4070 Silver Sage Drive, Carson City, NV 89701. The appeal must contain the following ...
Terms matched: 1  -  Score: 20  -  28 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3684_20250728.pdf
6. web_announcement_3676_20250718.pdf
... your subject line): Division of Nevada Medicaid ATTN: Document Control 4070 Silver Sage Dr. Carson City, NV 89701 To sign up for electronic notifications related ...
Terms matched: 1  -  Score: 20  -  18 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3676_20250718.pdf
7. web_announcement_3670_20250709.pdf
... NEVADA HEALTH AUTHORITY NEVADA MEDICAID Stacie Weeks, JD MPH 4070 Silver Sage Drive Director Carson City, Nevada 89701 Joe Lombardo NVHA.NV.GOV Ann Jensen, Governor Administrator Nevada ...
Terms matched: 1  -  Score: 23  -  09 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3670_20250709.pdf
8. FA-16B.pdf
... PT = Physical Therapy ï Oxygen via trach continuously HFCWO Vest = High Frequency Chest Wall Oscillation Vest ï Oxygen via vent continuously ï No Chest PT, HFCWO Vest ...
Terms matched: 1  -  Score: 12  -  20 Jun 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-16B.pdf
9. NV_BillingGuidelines_PT13.pdf
... the date of receipt are encouraged. Appeal address: Administrator DHCFP, 4070 Silver Sage Drive, Carson City, NV 89701. Claim submission instructions Submit claims to ...
Terms matched: 1  -  Score: 20  -  06 Jun 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT13.pdf
10. web_announcement_3640_20250521.pdf
... the date of receipt are encouraged. Appeal address: Administrator DHCFP, 4070 Silver Sage Drive, Carson City, NV 89701. The appeal must contain the following ...
Terms matched: 1  -  Score: 20  -  21 May 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3640_20250521.pdf
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