Nevada Medicaid and Nevada Check Up News (First 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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Top 10 Claim Denial Reasons and Resolutions/Workarounds for April 2026 Professional Claims. See Web Announcement 3915.

Top Prior Authorization Denial Reasons for the First Quarter of 2026. See Web Announcement 3900.

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1. PT_34_Therapy_Tip_Sheet.pdf
... Authorization Nevada Medicaid Criteria YouTube: PA Search Overview Provider Day Calculator Web Portal Fee WA 1728 Schedule (FA-7 Search Information) Nevada WA 3609 Medicaid (Medical Record ...
Terms matched: 1  -  Score: 35  -  12 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PT_34_Therapy_Tip_Sheet.pdf
2. Error_Code_to_EOB_to_ANSI.pdf
... oral cavity submission/billing error(s ) . Usage: Do not use designation code. this code for claims attachment(s )/ other documentation. ...
Terms matched: 1  -  Score: 54  -  06 May 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.pdf
3. FA-91.pdf
... I will be changing Hospice providers. I understand that I may only change the designation of the particular hospice from which hospice care will be received once in each ...
Terms matched: 1  -  Score: 20  -  27 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-91.pdf
4. Provider_Enrollment_Information_Booklet.pdf
... : Specialized Foster Care Crisis Services Specialty type codes: • 031: Designated Mobile Crisis Team (DMCT) • 032: Certified Community Behavioral ...
Terms matched: 1  -  Score: 43  -  21 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf
5. NV_BillingGuidelines_PT87_Spec250_090324.pdf
... mental health and substance use care. Intensive Crisis Stabilization Services are behavioral health services designed to: De-escalate or stabilize a behavioral health crisis and, when appropriate, ...
Terms matched: 1  -  Score: 70  -  17 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT87_Spec250_090324.pdf
6. NV_BillingGuidelines_PT87_Spec031_090324.pdf
... Type 87 Specialty 031 Billing Guide Crisis Services: Mobile Crisis Response Delivered By A Designated Mobile Crisis Team (DMCT) Overview On September 17, 2021, per ...
Terms matched: 1  -  Score: 159  -  17 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT87_Spec031_090324.pdf
7. NV_BillingGuidelines_PT87_Spec032_090324.pdf
... : Certified Community Behavioral Health Center (CCBHC) Delivering Mobile Crisis Response as a Designated Mobile Crisis Team (DMCT) Attached to a CCBHC Overview On September 17 ...
Terms matched: 1  -  Score: 140  -  17 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT87_Spec032_090324.pdf
8. NV_BillingGuidelines_PT87.pdf
... Provider Type (PT) 87 Crisis Services: Specialty # Specialty Name: 031 Designated Mobile Crisis Team (DMCT) Certified Community Behavioral Health Center (CCBHC) ...
Terms matched: 1  -  Score: 77  -  17 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT87.pdf
9. NV_BillingGuidelines_PT17_Spec181.pdf
... by an FQHC, regardless of whether the FQHC is the recipient’s designated primary care provider. • MEDICAL services under Managed Care invoice using ...
Terms matched: 1  -  Score: 20  -  06 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT17_Spec181.pdf
10. ABA_FAQ.pdf
... family training that takes place in both the home and office settings? You can designate the training location by using the appropriate Place of Service (POS) code ...
Terms matched: 1  -  Score: 20  -  03 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/ABA_FAQ.pdf
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