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. web_announcement_3731_20250926.pdf
... , 2025, the First Circuit Court of Appeals removed the previous preliminary injunctions that blocked immediate implementation of this section. Therefore, Nevada Medicaid issues the following guidance ...
Terms matched: 1  -  Score: 23  -  26 Sep 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3731_20250926.pdf
2. 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
3. NV_BillingGuidelines_PT22-attachmentA.pdf
... per 60 months D9210 DENT ANESTHESIA W/O SURGERY 00 00 00 D9212 TRIGEMINAL BLOCK ANESTHESIA 00 00 00 D9215 LOCAL ANESTHESIA 00 00 00 D9222 DEEP SEDAT/ ...
Terms matched: 1  -  Score: 12  -  15 Jan 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
4. Inhaled Antimuscarinics 2012 12.pdf
... - - - ï increased Elevated heart rate - - - ï First degree atrioventricular block <1 - - - Heart failure <1 - - - Hypertension - ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Inhaled%20Antimuscarinics%202012%2012.pdf
5. Inhaled Anticholinergics.pdf
... - First degree - - <1 - - - - - - - atrioventricular block Heart failure <1 - - - - - - - - - Hypertension ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Inhaled%20Anticholinergics.pdf
6. Ingrezza_2017-0918.pdf
... TD) is an iatrogenic condition that results from the long-term use of dopamine receptor blocking agents (DRBAs), predominantly antipsychotics/neuroleptics (first generation antipsychotics [ ...
Terms matched: 1  -  Score: 16  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Ingrezza_2017-0918.pdf
7. Incretin Mimetics_09222016.pdf
... 10.2337/dc13-2760. 13. Home PD, Shamanna P, Stewart M, Yang F, Miller M, Perry C, et al. Efficacy and tolerability ...
Terms matched: 1  -  Score: 12  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Incretin%20Mimetics_09222016.pdf
8. Immunomodulators_2018-0910.pdf
... 2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK ... in combination with DMARDs other than TNF blocking agents. â žâ žIndicated for reducing ...
Terms matched: 2  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2018-0910.pdf
9. Immunomodulators_2018-09.pdf
... 2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK ... in combination with DMARDs other than TNF blocking agents. â žâ žIndicated for reducing ...
Terms matched: 2  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2018-09.pdf
10. Immunomodulators_2017-1228.pdf
... 2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK ... in combination with DMARDs other than TNF blocking agents. â žâ žIndicated for reducing ...
Terms matched: 2  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2017-1228.pdf
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