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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Known System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for October 2025 Professional Claims. See Web Announcement 3767.

Top Prior Authorization Denial Reasons for the Third Quarter of 2025. See Web Announcement 3758.

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 dhcfp.nv.gov and the Billing Guide for your provider type at www.medicaid.nv.gov.

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621. NV_EnrollmentChecklist_PT95_Spec191.pdf
... . The following links below are training modules under the DEER Program that you can choose from: • Bravo Zulu https://deerprogram.org/bravo-zulu ...
Terms matched: 1  -  Score: 21  -  25 Mar 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT95_Spec191.pdf
622. NV_EnrollmentChecklist_PT95_Spec895.pdf
... . The following links below are training modules under the DEER Program that you can choose from: • Bravo Zulu https://deerprogram.org/bravo-zulu ...
Terms matched: 1  -  Score: 21  -  25 Mar 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT95_Spec895.pdf
623. ADA Payerpath Training 2016-1220.pdf
... , then scroll down to View Claims. 19 Claims List Filter Select Dental 2012 Choose from Untransmitted (claims not yet sent) or Transmitted (claims that have ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/ADA%20Payerpath%20Training%202016-1220.pdf
624. Beta-adrenergic_antagonists_2015-0812.pdf
... of the level of urine albumin excretion. Â In adult kidney transplant recipients, choose a blood pressure -lowering agent after taking into account the time after transplantation, ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Beta-adrenergic_antagonists_2015-0812.pdf
625. web_announcement_3229_20231201.pdf
... . Electronic 1099s will be available starting with the 2023 tax year. Providers that choose not to obtain their 1099s electronically can also use the EVS Demographic Updates feature ...
Terms matched: 1  -  Score: 21  -  01 Dec 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3229_20231201.pdf
626. web_announcement_3245_20231220.pdf
... €™s service limits are met. • For a provider who chooses to submit a PA request when the recipient has not exhausted their service limitations ...
Terms matched: 1  -  Score: 21  -  20 Dec 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3245_20231220.pdf
627. web_announcement_3294_20240301.pdf
... : This temporary solution does not apply to Managed Care Organization payers or providers who choose to use an alternative EVV system. Temporary claims submission: The good news ...
Terms matched: 1  -  Score: 21  -  01 Mar 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3294_20240301.pdf
628. CMS Payerpath Training 2016-1205.pdf
... | Email: nvmmis.edisupport@dxc.com 19 Claims List Filter Select Form: Type Professional Choose from Untransmitted (claims not yet sent) or Transmitted (claims that have ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/CMS%20Payerpath%20Training%202016-1205.pdf
629. web_announcement_413_20110926.pdf
... 19 at the Cashman Center located at 850 Las Vegas Boulevard N. Providers may choose to attend a morning or an afternoon conference in either Reno or Las Vegas ...
Terms matched: 1  -  Score: 20  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_413_20110926.pdf
630. web_announcement_514_20120831.pdf
... sessions. To register, click on “Register Here,⠀then choose Reno or Las Vegas from the drop-down list. Scroll down to †...
Terms matched: 1  -  Score: 20  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_514_20120831.pdf
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