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 October 2025 Professional Claims. See Web Announcement 3767.

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

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1. Benefit_Enrollment_and_Maintenance_(834).pdf
... 2300 HD03 Insurance Line Code See the Insurance Line Codes: Notes / AG, AH, AJ, AK, DCP, Comments DEN, EPO, FAC, ...
Terms matched: 1  -  Score: 11  -  20 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Benefit_Enrollment_and_Maintenance_(834).pdf
2. web_announcement_Volume 22 Issue 3_20250930.pdf
... QRR) surveys may assist in justifying rate adjustments. Data gathered from provider responses di- rectly contributes to the analysis of current reimbursement rates and may assist in ...
Terms matched: 1  -  Score: 13  -  30 Sep 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_Volume%2022%20Issue%203_20250930.pdf
3. 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
4. web_announcement_3505_20241217.pdf
... AF Abortion performed due to emotional/psychological health of mother Use of condition codes AH (elective abortion), AC (Abortion performed due to serious fetal genetic ...
Terms matched: 1  -  Score: 20  -  17 Dec 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3505_20241217.pdf
5. Incretin_Mimetics_Amylinomimetics_2018-06.pdf
... Accessed February 14, 2018. ï ‚ Davies MJ, Donnelly R, Barnett AH, et al. Exenatide compared to long-acting insulin to achieve glycemic control with ...
Terms matched: 1  -  Score: 24  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Incretin_Mimetics_Amylinomimetics_2018-06.pdf
6. Inflammatory_Bowel_Disease_Agents_2017-09.pdf
... , PA. November 2015. ï ‚ Marshall JK, Thabane M, Steinhart AH, et al. Rectal 5-aminosalicylic acid for maintenance of remission in ulcerative colitis ...
Terms matched: 1  -  Score: 24  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Inflammatory_Bowel_Disease_Agents_2017-09.pdf
7. Incretin_Mimetics_Amylinomimetics_2017-09.pdf
... Accessed June 14, 2017. ï ‚ Davies MJ, Donnelly R, Barnett AH, et al. Exenatide compared to long-acting insulin to achieve glycemic control with ...
Terms matched: 1  -  Score: 24  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Incretin_Mimetics_Amylinomimetics_2017-09.pdf
8. Incretin_Mimetics_Amylinomimetics_2017-0314.pdf
... Accessed October 31, 2016. ï ‚ Davies MJ, Donnelly R, Barnett AH, et al. Exenatide compared to long-acting insulin to achieve glycemic control with ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Incretin_Mimetics_Amylinomimetics_2017-0314.pdf
9. Incretin_Mimetics_2014_0811.pdf
... (8 ): 1927-303. 8. Pratley RE, Nauck MA, Barnett AH, Feinglos MN, Ovalle F, Harman-Boehm I, et al. Once ...
Terms matched: 1  -  Score: 49  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Incretin_Mimetics_2014_0811.pdf
10. Incretin_Mimetics_Amylinomimetics_2016-1216.pdf
... Accessed October 31, 2016. ï ‚ Davies MJ, Donnelly R, Barnett AH, et al. Exenatide compared to long-acting insulin to achieve glycemic control with ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Incretin_Mimetics_Amylinomimetics_2016-1216.pdf
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