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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EDI Trading Partners: If you have not already scheduled a migration date for your SFTP connection to the new URL, please contact NV MMIS EDI Support immediately. SFTP services at sftp.medicaid.nv.gov will be discontinued starting January 21, 2026.
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Top 10 Claim Denial Reasons and Resolutions/Workarounds for December 2025 Professional Claims. See Web Announcement 3789.

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

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1. 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
2. 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
3. Immunomodulators_2018-0910.pdf
... Dec 8;353(23):2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK. Meta-analysis of the efficacy and safety ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2018-0910.pdf
4. Immunomodulators_2018-09.pdf
... Dec 8;353(23):2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK. Meta-analysis of the efficacy and safety ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2018-09.pdf
5. Immunomodulators_2017-1228.pdf
... Dec 8;353(23):2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK. Meta-analysis of the efficacy and safety ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2017-1228.pdf
6. Immunomodulators_2017-0615.pdf
... 2005 Dec 8;353(23):2462-76. x Ryoo JY, Yang HJ, Ji E, Yoo BK. Meta-analysis of the efficacy and safety ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2017-0615.pdf
7. Immunomodulators_2017-09.pdf
... Dec 8;353(23):2462-76. ï ‚ Ryoo JY, Yang HJ, Ji E, Yoo BK. Meta-analysis of the efficacy and safety ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2017-09.pdf
8. HMG CoA Reductase Inhibitors.pdf
... , Raichlen JS, Riley WA, Evans GW, ... MF, Wertz DA, Yang GW, Kamat S ... CM, Zhang Q, Lam L, Lin H ...
Terms matched: 3  -  Score: 41  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG%20CoA%20Reductase%20Inhibitors.pdf
9. HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
... , Raichlen JS, Riley WA, Evans GW, ... MF, Wertz DA, Yang GW, Kamat S ... CM, Zhang Q, Lam L, Lin H ...
Terms matched: 3  -  Score: 41  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
10. Hepatitis_C_Antivirals_2013-0812.pdf
... 4. Journal of Medical Virology. 2009;81:1576-83. 18. Lam KD, Trinh HN, Do ST, Nguyen TT, Garcia RT, ...
Terms matched: 1  -  Score: 40  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Hepatitis_C_Antivirals_2013-0812.pdf
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