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_EnrollmentChecklist_PT91_Flex.pdf
... of completion of an educational course approved by the Accreditation Council for Pharmacy Education (ACPE) or American College of Obstetricians and Gynecologists (ACOG) regarding self-administered contraceptives ...
Terms matched: 1  -  Score: 20  -  08 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT91_Flex.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. 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
4. 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
5. E-Binder_PT_September_2018.pdf
... JR 3rd, Raichlen JS, Riley WA, et al. Effect of rosuvastatin ... al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/ ...
Terms matched: 2  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/E-Binder_PT_September_2018.pdf
6. E-Binder_PT_September_2017.pdf
... JR 3rd, Raichlen JS, Riley WA, et al. Effect of rosuvastatin ... al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/ ...
Terms matched: 2  -  Score: 70  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/E-Binder_PT_September_2017.pdf
7. E-Binder_PT_March_2018.pdf
... ) . August 2017. ï ‚ Crouse JR 3rd, Raichlen JS, Riley WA, et al. Effect of rosuvastatin on progression of carotid intima-media thickness in ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/E-Binder_PT_March_2018.pdf
8. E-Binder_December_2015.pdf
... . 63. Kok RM, Nolen WA, Heeren TJ. Venlafaxine vs nortriptyline ... . 31. ACCF/AHA/ACP/AATS/PCNA/SCAI/ ...
Terms matched: 2  -  Score: 36  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/E-Binder_December_2015.pdf
9. DUR_Meeting_Material.pdf
... /www.nice.org.uk/nicemedia/pdf/CG48NICEGuidance.pdf. 41. ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the diagnosis and management ...
Terms matched: 1  -  Score: 11  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/DUR_Meeting_Material.pdf
10. Dopamine_Agonists_2013-0812.pdf
... Med. 2010 Oct;11(9 ): 848-56. 43. Hening WA, Allen RP, Ondo WG, Walters AS, Winkelman JW, Becker ...
Terms matched: 1  -  Score: 59  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Dopamine_Agonists_2013-0812.pdf
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