Attention AuthentiCare® Nevada users: Claims submitted using the Electronic Visit Verification (EVV) solution AuthentiCare® Nevada during the week ending January 13, 2023,
will be delayed by one week due to a claims processing issue. Claims that should have paid on January 20, 2023, will be paid on January 27, 2023.
The impacted provider types are 30 (Personal Care Services – Provider Agency), 48 (Home and Community Based Waiver for the Frail Elderly),
58 (Home and Community Based Waiver for Persons with Physical Disabilities) and 83 (Personal Care Services – Intermediary Service Organization).
Nevada Medicaid COVID-19
Nevada Health Response
Known System Issues-Click HERE
Paper claims are no longer accepted by Nevada Medicaid. Please refer to Web Announcement 1733
and Web Announcement 1829
for additional information.
Top 10 Claim Denial Reasons and Resolutions/Workarounds for December 2022 Claims. See Web Announcement 2985
Top Prior Authorization Denial Reasons for the First Quarter of 2021. See Web Announcement 2505
Top 10 Enrollment Return Reasons and Resolutions for First Quarter 2021 Submissions. See Web Announcement 2501
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