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]

Featured Links

DHCFP EVV

Authorization Criteria

DHCFP 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

NOTIFICATION: Some Provider Flex services will be temporarily unavailable due to scheduled maintenance from 7 p.m. Pacific Time on Friday, March 6, 2026, to 11 a.m. Pacific Time on Saturday, March 7, 2026.

During this time:
  • New enrollment applications cannot be started.
  • Revalidation and Update applications will remain available; and
  • Previously started applications can still be accessed and resumed.

URGENT NOTIFICATION: Update regarding the Electronic Visit Verification (EVV) claims processing error. Nevada Medicaid did not receive some claims from Sandata (Optum) in time for the February 06, 2026 financial cycle. The issue was resolved this week. EVV providers can contact Sandata Technologies at (833) 545-0394 or support@sandata.com for assistance.

Known System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2026 Professional Claims. See Web Announcement 3840.

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.

Provider Links

DHCFP 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 vendor pembuatan interior ruang tamu dua pintu apartemen laguna jakarta utara

No results found containing all search terms. 522 results found containing some search terms.

53 pages of results.
Sort by relevance / Sorted by date ▼
1. NV_BillingGuidelines_PT14.pdf
... MSM Chapter 400. If you need further clarification, please contact the Medicaid QIO-like vendor. Qualified Provider Types as noted in the following table: APRN: Advanced ...
Terms matched: 1  -  Score: 12  -  14 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14.pdf
2. NV_BillingGuidelines_PT14_online_011226.pdf
... MSM Chapter 400. If you need further clarification, please contact the Medicaid QIO-like vendor. Qualified Provider Types as noted in the following table: LCPC: Licensed ...
Terms matched: 1  -  Score: 12  -  14 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14_online_011226.pdf
3. Error_Code_to_EOB_to_ANSI.pdf
... has been reached. This edit will post when NPI on the claim the PBM vendor to correct provider does not match the NPI on the Pharmacy information. Benefit ...
Terms matched: 1  -  Score: 11  -  10 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
4. Provider_Enrollment_Information_Booklet.pdf
... Provider. Gainwell Technologies is the current Quality Improvement Organization (QIO) -like vendor for the Nevada Medicaid and Nevada Check Up programs. State Policy Nevada Medicaid ...
Terms matched: 1  -  Score: 14  -  09 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
5. NV_EnrollmentCriteria_PT17_Spec188.pdf
... of Nevada requirements. It is imperative that Electronic Health Records (EHR) system vendors are vetted to ensure minimum requirements can be met. Data submissions will consist ...
Terms matched: 1  -  Score: 66  -  23 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentCriteria_PT17_Spec188.pdf
6. NV_BillingGuidelines_PT14_online_030525.pdf
... MSM Chapter 400. If you need further clarification, please contact the Medicaid QIO-like vendor. Qualified Provider Types as noted in the following table: LCPC: Licensed ...
Terms matched: 1  -  Score: 14  -  12 Jan 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14_online_030525.pdf
7. NV_Billing_General_20251017.pdf
... overpayments. The phone number and email address for First Health Services’ TPL vendor, Health Management Services, has been updated in chapters 2 and 5. ...
Terms matched: 1  -  Score: 157  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251017.pdf
8. NV_Billing_General.pdf
... overpayments. The phone number and email address for First Health Services’ TPL vendor, Health Management Services, has been updated in chapters 2 and 5. ...
Terms matched: 1  -  Score: 157  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General.pdf
9. NV_Billing_General_20251215.pdf
... overpayments. The phone number and email address for First Health Services’ TPL vendor, Health Management Services, has been updated in chapters 2 and 5. ...
Terms matched: 1  -  Score: 157  -  31 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20251215.pdf
10. web_announcement_3753_20251024.pdf
... Urban Washoe and Clark County residents, please continue to schedule with the Non-Emergency Transportation vendor, MTM, at (844) 879-7341. 16. Will dental coverage ...
Terms matched: 1  -  Score: 12  -  24 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3753_20251024.pdf
Result Pages: 1 2 3 4 5 6 7 8 9 10 11 Next >>

Search powered by Zoom Search Engine



Search took 0.072 seconds