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 November 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. Error_Code_to_EOB_to_ANSI.pdf
... /ANSI Code Crosswalk ERROR_CODE ERROR_CODE_DESCRIPTION EOB_CODE EOB_CODE_DESCRIPTION REASON_CODE REASON_CODE_DESCRIPTION REMARK_CODE REMARK_CODE_DESCRIPTION 3299 HOLIDAY PAY TV MOD BILLED - NOT A 2001 Deny Holiday Pay TV Modifier when not a ...
Terms matched: 1  -  Score: 22  -  09 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Error_Code_to_EOB_to_ANSI.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. Encounter-Institutional_837I_MCO_Companion_Guide_-_Mod.pdf
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 The value sent at this ...
Terms matched: 1  -  Score: 21  -  06 Feb 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter-Institutional_837I_MCO_Companion_Guide_-_Mod.pdf
4. Encounter-Dental_837D_MCO_Companion_Guide_-_Mod.pdf
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 The value sent at this ...
Terms matched: 1  -  Score: 21  -  06 Feb 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter-Dental_837D_MCO_Companion_Guide_-_Mod.pdf
5. Encounter-Professional_837P_MCO_Companion_Guide_-_Mod.pdf
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 The value sent at this ...
Terms matched: 1  -  Score: 11  -  06 Feb 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Encounter-Professional_837P_MCO_Companion_Guide_-_Mod.pdf
6. Professional_FFS_837P.pdf
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 121 2010BA NM1 Subscriber Name ...
Terms matched: 1  -  Score: 11  -  06 Jan 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Professional_FFS_837P.pdf
7. HMG CoA Reductase Inhibitors.pdf
... 3 ): 427-37. 104. Crouse JR 3rd, Raichlen JS, Riley WA, Evans GW, Palmer MK, O'Leary DH, et al. Effect ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG%20CoA%20Reductase%20Inhibitors.pdf
8. HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
... 3 ): 427-37. 104. Crouse JR 3rd, Raichlen JS, Riley WA, Evans GW, Palmer MK, O'Leary DH, et al. Effect ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/HMG_CoA_Reductase_Inhibitors_2013-0812.pdf
9. Growth Hormon_09222016e.pdf
... 2006;30:480. 152. Byrne TA, Morrissey TB, Nattakom TV, Zielger TR, Wilmore DW. Growth hormone, glutamine, and a ...
Terms matched: 1  -  Score: 12  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Growth%20Hormon_09222016e.pdf
10. Growth Hormone_09222016.pdf
... 2006;30:480. 152. Byrne TA, Morrissey TB, Nattakom TV, Zielger TR, Wilmore DW. Growth hormone, glutamine, and a ...
Terms matched: 1  -  Score: 12  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Growth%20Hormone_09222016.pdf
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