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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NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. Pacific Time on Monday, May 11, 2026, through 4 a.m. Pacific Time on Tuesday, May 12, 2026, for scheduled maintenance:
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    Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2026 Professional Claims. See Web Announcement 3894.

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

    Attention Providers Using the Authorization Criteria Function: Results that return prior authorization (PA) requirements are accurate. For results that return “There are no records found based on the search criteria,” there may be a PA requirement if limits have been exceeded. To verify PA requirements, please refer to the Medicaid Services Manual (MSM) Chapter for your service type at https://NevadaMedicaid.nv.gov/ and the Billing Guide for your provider type at www.medicaid.nv.gov.

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1. NV_BillingGuidelines_PT25-41.pdf
... ) • V2745 (Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ...
Terms matched: 1  -  Score: 20  -  03 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT25-41.pdf
2. NV_BillingGuidelines_PT33_20250623.pdf
... and depth. Exception: for Group 3 and 4 PWCs with a sling/solid seat/back, the following may be billed separately when determined medically necessary ...
Terms matched: 1  -  Score: 24  -  15 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT33_20250623.pdf
3. NV_BillingGuidelines_PT33.pdf
... and depth. Exception: for Group 3 and 4 PWCs with a sling/solid seat/back, the following may be billed separately when determined medically necessary ...
Terms matched: 1  -  Score: 24  -  15 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT33.pdf
4. NV_BillingGuidelines_PT33_20240523.pdf
... and depth. Exception: for Group 3 and 4 PWCs with a sling/solid seat/back, the following may be billed separately when determined medically necessary ...
Terms matched: 1  -  Score: 24  -  23 Jun 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT33_20240523.pdf
5. FA-1B.pdf
... each checked component.) Tilt in Space Reclining Back ELR / AFP Seat Elevated Solid Seat Solid Back Cushion Back Headrest With Adjustable Mounting Hardware S/A Lateral ...
Terms matched: 1  -  Score: 24  -  09 May 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-1B.pdf
6. 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
7. Immunomodulators_2015-0930.pdf
... 2015 Therapeutic Class Review: immunomodulators Interacting Medication Generic Name Potential Result or Disease noncutaneous solid malignancies. Infliximab Tocilizumab Concurrent use may increase immunosuppression and the risk of infections ...
Terms matched: 1  -  Score: 37  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2015-0930.pdf
8. Immunomodulators_2015-0812.pdf
... 2015 Therapeutic Class Review: immunomodulators Interacting Medication Generic Name Potential Result or Disease noncutaneous solid malignancies. Infliximab Tocilizumab Concurrent use may increase immunosuppression and the risk of infections ...
Terms matched: 1  -  Score: 37  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2015-0812.pdf
9. Immunomodulators_2014-0918.pdf
... neutropenia. Etanercept Cyclophosphamide Concurrent administration may result in a higher incidence of developing noncutaneous solid malignancies. Infliximab Tocilizumab Concurrent use may increase immunosuppression and the risk of infections ...
Terms matched: 1  -  Score: 37  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2014-0918.pdf
10. Immunomodulators_2013-1218.pdf
... neutropenia. Etanercept Cyclophosphamide Concurrent administration may result in a higher incidence of developing noncutaneous solid malignancies. Page 87 of 115 Copyright 2013 • Review Completed on ...
Terms matched: 1  -  Score: 37  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Immunomodulators_2013-1218.pdf
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