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]

Featured Links

Nevada Medicaid EVV

Authorization Criteria

Nevada Medicaid Home

EDI Information

PWP User Manual

Provider Enrollment

Provider Login (PWP)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

Self-Paced Training Videos

Notifications


Known System Issues-Click HERE

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.

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.

Provider Links

Nevada Medicaid EVV

Billing Information

Forms

Provider Enrollment

Provider Newsletters

Provider Training

Scheduled Site Maintenance

During the scheduled site maintenance window the Provider Web Portal will be unavailable. The table below shows the regularly scheduled maintenance window. All times will be in the Pacific time zone.

Monday - Friday
12:00AM - 12:30AM

Monday
8:00PM - 12:00AM

Enhance your search:
  • Note that you can use "*" and "?" as wildcards.

  • Enclosing more than one word in double quotes ("search engine") will search for the exact phrase.
Example Zoom search template page

Search this site

Enter one or more keywords to search for using the Zoom Search Engine.
Note that '*' and '?' wildcards are supported.



Match:

Search results for: choose mco

78 results found containing all search terms. 749 results found containing some search terms.

83 pages of results.
Sorted by relevance / Sort by date
71. NV_Billing_General_online_2010-06-14_to_2011-06-20.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_2010-06-14_to_2011-06-20.pdf
72. 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
73. Binder_DUR_2017-1011.pdf
... such patients in deciding which glucocorticoid to choose, when to initiate treatment, and ... ™s has been conducted. The MCO expansion was effective July 1, 2017 ...
Terms matched: 2  -  Score: 303  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2017-1011.pdf
74. 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
75. 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
76. NV_Billing_General_online_2009-08-26_to_2010-03-17.pdf
... Sample 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_2009-08-26_to_2010-03-17.pdf
77. 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
78. NV_Billing_General_online_2009-01-30_to_2009-03-10.pdf
... Eligibility ... 15 Sample Medicaid Card... 15 Fee For Service vs. Managed Care... 15 MCO Contact Information... 16 AMERIGROUP Community Care ... 16 Health Plan of Nevada (HPN ...
Terms matched: 1  -  Score: 303  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Billing_General_online_2009-01-30_to_2009-03-10.pdf
79. NV_Medicaid_News_2016-0930.pdf
... series of breakout sessions. Providers can choose from Medicaid the following breakout sessions when ... both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. ï ‚ You ...
Terms matched: 2  -  Score: 303  -  29 May 2019  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_Medicaid_News_2016-0930.pdf
80. web_announcement_3753_20251024.pdf
... are the differences that can help you choose a health plan that meets your needs ... in the mail to NV Medicaid, MCO Changes, P.O. Box 30042, ...
Terms matched: 2  -  Score: 299  -  24 Oct 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3753_20251024.pdf
Result Pages: << Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Next >>

Search powered by Zoom Search Engine



Search took 0.053 seconds