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.

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41. NV_Billing_General_online_2010-05-28_to_2010-06-14.pdf
... Medicaid Card .... 14 Fee For Service vs. Managed Care .... 14 MCO Contact Information .... 15 Chapter 4: Prior and Retrospective Authorization .... ...
Terms matched: 1  -  Score: 303  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_online_2010-05-28_to_2010-06-14.pdf
42. Second and third generation quinolones 2014 11.pdf
... of Antimicrobial • Monotherapy with vancomycin not indicated: Agents in Neutropenic o Choose therapy with one of the following agents: cefepime or Patients with Cancer ceftazidime ...
Terms matched: 1  -  Score: 29  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Second%20and%20third%20generation%20quinolones%202014%2011.pdf
43. Urinary antispasmodics 2014 11.pdf
... (Chapple et al63)of micturitions 1.47; P>0.05) . patients choosing to vs remain on the lower Secondary: Secondary: treatment dose Change in ...
Terms matched: 1  -  Score: 22  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Urinary%20antispasmodics%202014%2011.pdf
44. Oral_Anticoagulants_2013-0812.pdf
... risk of stroke: no therapy is suggested over antithrombotic therapy. For patients who choose antithrombotic therapy, aspirin is suggested over oral anticoagulation or combination therapy with aspirin ...
Terms matched: 1  -  Score: 45  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Oral_Anticoagulants_2013-0812.pdf
45. Special Batch and Claim Appeals Final 2013-0826.pdf
... due to system issue • Orthodontic claims â€" recipients enrolled in MCO • Exceptions approved by the Division of Health Care Financing and Policy ...
Terms matched: 1  -  Score: 23  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Special%20Batch%20and%20Claim%20Appeals%20Final%202013-0826.pdf
46. NV_Billing_General_online_2009-03-10_to_2009-08-26.pdf
... Eligibility ... 14 Sample Medicaid Card... 14 Fee For Service vs. Managed Care... 14 MCO Contact Information... 15 Chapter 4: Prior and Retrospective Authorization ... 16 Introduction... 16 ...
Terms matched: 1  -  Score: 303  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_online_2009-03-10_to_2009-08-26.pdf
47. NV_Billing_General_online_2010-03-17_to_2010-05-28.pdf
... Medicaid Card .... 14 Fee For Service vs. Managed Care .... 14 MCO Contact Information .... 15 Chapter 4: Prior and Retrospective Authorization .... ...
Terms matched: 1  -  Score: 303  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_online_2010-03-17_to_2010-05-28.pdf
48. Urinary_Antispasmodics_2013-0812.pdf
... (Chapple et al )of micturitions 1.47; P>0.05) . patients choosing to vs remain on the lower Secondary: Secondary: treatment dose Change in ...
Terms matched: 1  -  Score: 21  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Urinary_Antispasmodics_2013-0812.pdf
49. NV_Billing_General_20110620.pdf
... Medicaid Card .... 14 Fee For Service vs. Managed Care .... 14 MCO Contact Information .... 15 Chapter 4: Prior and Retrospective Authorization .... ...
Terms matched: 1  -  Score: 303  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_20110620.pdf
50. Oral_Anticoagulants_06-15.pdf
... risk of stroke: no therapy is suggested over antithrombotic therapy. For patients who choose antithrombotic therapy, aspirin is suggested over oral anticoagulation or combination therapy with aspirin ...
Terms matched: 1  -  Score: 45  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Oral_Anticoagulants_06-15.pdf
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