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 February 2026 Professional Claims. See Web Announcement 3863.

Top Prior Authorization Denial Reasons for the Fourth Quarter of 2025. See Web Announcement 3830.

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271. web_announcement_988_20150929.pdf
... for no prior authorization due to a change in eligibility from Managed Care Organization (MCO) to Fee-for-Service (FFS) after a newborn’s date of ...
Terms matched: 1  -  Score: 56  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_988_20150929.pdf
272. PT_13_Psychiatric_Hospital_Inpatient_Training_2019.pdf
... in their answer to 4 the Challenge Question to verify identity. 5 4. Choose whether log in is on a personal computer or public computer. 5. ...
Terms matched: 1  -  Score: 56  -  12 Jun 2019  -  URL: https://www.medicaid.nv.gov/Downloads/provider/PT_13_Psychiatric_Hospital_Inpatient_Training_2019.pdf
273. web_announcement_3184_20231009.pdf
... 13 and 14, 2023, those who reside in a Managed Care Organization (MCO) coverage area were placed back into their last Managed Care Plan that they ...
Terms matched: 1  -  Score: 55  -  09 Oct 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3184_20231009.pdf
274. FFS_DUR_Binder_Jan_2020.pdf
... the DUR is the third from the top is ingredient duplication. We continue to choose a new topic for RetroDUR every quarter and send out letters each month. ...
Terms matched: 1  -  Score: 55  -  17 Dec 2019  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FFS_DUR_Binder_Jan_2020.pdf
275. Platelet inhibitors 2014 11.pdf
... stroke: no therapy is suggested over antithrombotic therapy. For Therapy and patients who choose antithrombotic therapy, aspirin is suggested over Prevention of oral anticoagulation or combination therapy ...
Terms matched: 1  -  Score: 53  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Platelet%20inhibitors%202014%2011.pdf
276. Nursing Facility Tracking Form Validation Guide 2016-0615.pdf
... within the recipient’s Medicaid eligibility. The member is enrolled in an MCO on the NF form is submitted with a recipient that has date(s ...
Terms matched: 1  -  Score: 53  -  20 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Nursing%20Facility%20Tracking%20Form%20Validation%20Guide%202016-0615.pdf
277. Platelet Inhibitors_2015-1002.pdf
... stroke: no therapy is suggested over antithrombotic therapy. For Therapy and patients who choose antithrombotic therapy, aspirin is suggested over Prevention of oral anticoagulation or combination therapy ...
Terms matched: 1  -  Score: 53  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Platelet%20Inhibitors_2015-1002.pdf
278. Platelet_Inhibitors_2013-0812.pdf
... stroke: no therapy is suggested over antithrombotic therapy. For Therapy and patients who choose antithrombotic therapy, aspirin is suggested over Prevention of oral anticoagulation or combination therapy ...
Terms matched: 1  -  Score: 53  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Platelet_Inhibitors_2013-0812.pdf
279. Nursing_Facility_Tracking_Form_Validation_Guide_ 2016-0615.pdf
... within the recipient’s Medicaid eligibility. The member is enrolled in an MCO on the NF form is submitted with a recipient that has date(s ...
Terms matched: 1  -  Score: 53  -  20 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Nursing_Facility_Tracking_Form_Validation_Guide_%202016-0615.pdf
280. Nursing_Facility_Tracking_Form_Validation_Guide_2016-0615.pdf
... within the recipient’s Medicaid eligibility. The member is enrolled in an MCO on the NF form is submitted with a recipient that has date(s ...
Terms matched: 1  -  Score: 53  -  20 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Nursing_Facility_Tracking_Form_Validation_Guide_2016-0615.pdf
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