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]

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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 September 2026 Professional Claims. See Web Announcement 4031.

Top Prior Authorization Denial Reasons for the Second Quarter of 2026. See Web Announcement 4053.

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.

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1. PASRR_LOC_NF_Training_2021.pdf
... more major life activities: Self-Care, Understanding/Use of Language, Learning, Mobility, Self-Direction or Capacity for Independent Living. Nevada Medicaid â€" PASRR ...
Terms matched: 1  -  Score: 26  -  27 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PASRR_LOC_NF_Training_2021.pdf
2. MFA_FAQ.pdf
... in again. What factor methods are available? • Application on your mobile phone (Okta Verify or Google Authenticator): This is the most secure ...
Terms matched: 1  -  Score: 108  -  23 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/MFA_FAQ.pdf
3. Provider_Enrollment_Information_Booklet.pdf
... Specialized Foster Care Crisis Services Specialty type codes: • 031: Designated Mobile Crisis Team (DMCT) • 032: Certified Community Behavioral Health ...
Terms matched: 1  -  Score: 106  -  19 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
4. Team_Territories.pdf
... 86 â€" Specialized Foster Care • 87 â€" Designated Mobile Crisis Team, Crisis Stabilization Center • 93 â€" Substance ...
Terms matched: 1  -  Score: 20  -  08 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Team_Territories.pdf
5. web_announcement_4023_20261001.pdf
... Residential Treatment Facilities): Age Correction for Complex Case Criteria Correction to Web Announcement 3970: The special rate for private psychiatric residential treatment facilities (PRTF) for ...
Terms matched: 1  -  Score: 38  -  01 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_4023_20261001.pdf
6. web_announcement_3970_20260722.pdf
... July 22, 2026 (Updated October 1, 2026) Nevada Medicaid Web Announcement 3970 Attention Provider Type 63 (Psychiatric Residential Treatment Facility (PRTF)): ...
Terms matched: 1  -  Score: 38  -  01 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3970_20260722.pdf
7. FA-15.pdf
... â 3 visits to an ER in the last 6-month period â Recommended by the Mobile Crisis Team for placement in a PRTF combined with a psychiatrist’s ...
Terms matched: 1  -  Score: 21  -  01 Oct 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-15.pdf
8. NV_BillingGuidelines_PT14_online_092126.pdf
... include psychotherapy, No All Levels Psychotherapy patient and/or family LCPC, QMHP mobilization of resources and Requirements above implementation of psychotherapeutic First 60 minutes, face- ...
Terms matched: 1  -  Score: 23  -  29 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14_online_092126.pdf
9. NV_BillingGuidelines_PT14.pdf
... include psychotherapy, No All Levels Psychotherapy patient and/or family LCPC, QMHP mobilization of resources and Requirements above implementation of psychotherapeutic First 60 minutes, face- ...
Terms matched: 1  -  Score: 23  -  29 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14.pdf
10. NV_BillingGuidelines_PT14_online_072126.pdf
... include psychotherapy, No All Levels Psychotherapy patient and/or family LCPC, QMHP mobilization of resources and Requirements above implementation of psychotherapeutic First 60 minutes, face- ...
Terms matched: 1  -  Score: 23  -  21 Sep 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14_online_072126.pdf
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