Nevada Medicaid and Nevada Check Up News (First Quarter 2018 Provider Newsletter) [Read]

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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Urgent: The adjudication of claims for physician-administered drugs submitted last week may be delayed due to a claims processing issue. The claims may pend with edit code 0899 (National Drug Code (NDC) claims are pending during transition period) on remittance advices dated June 22, 2018. This notification will be updated when the issue is resolved and when the claims are processed.

Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Inbound Companion Guides Now Available. [See Web Announcement 1617]

Attention All Providers and Electronic Billing Trading Partners: Medicaid Management Information System Enhancements Will Improve Claims and Enrollment Processes. [See Web Announcement 1559]

The Division of Health Care Financing and Policy (DHCFP) has selected LIBERTY Dental Plan of Nevada (LIBERTY) as the new Managed Care Dental Benefits Administrator (DBA) effective January 1, 2018, to serve recipients enrolled in a Managed Care Organization (MCO). [See Web Announcement 1442]

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Announcements & Newsletters

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DateAnnouncement NumberTopic
Jun 21, 20181622Outpatient Therapy and Neurotherapy Claim Overpayments
Jun 21, 20181621Attention Provider Type 39 (Adult Day Health Care): Use Current Version of Form FA-17
Jun 21, 20181620Pharmacy Announcement: Prior Authorization for High Dollar Claims will be Implemented August 6, 2018
Jun 20, 20181619Limitations for Case Management Code T1016
Jun 20, 20181618Drug Use Review (DUR) Board Approves Changes Effective May 7, 2018
Jun 18, 20181617Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Inbound Companion Guides Now Available
Jun 15, 20181616Changes to Provider Web Portal and Paper Remittance Advice to Support New Medicare Number Project
Jun 14, 20181615Attention Provider Type 19 (Nursing Facility): Resolution of Claims Pended for Skilled Nursing Facilities
Jun 12, 20181614Attention Provider Type 22 (Dentist): Issue Resolved Regarding Dental Claims Denying in Error
Jun 12, 20181613Reminder: Fingerprint-based Criminal Background Checks (FCBC) for “High” Risk Providers
Jun 07, 20181612Hospira Issues Voluntary Nationwide Recall for Two Lots of Naloxone Hydrochloride Injection
Jun 06, 20181611Nevada Medicaid/Nevada Check Up Claim Submission and Timely Filing Policy Reminder
Jun 06, 20181610Update Regarding Adult Day Health Care Claims
Jun 06, 20181609Claims Pending for Edit Code 0291 (Suspended for Budget Relief)
Jun 05, 20181608Urgent Notice Regarding Facility Claims Denied in Error
Jun 04, 20181607Attention Provider Type 64 (Hospice): Submission/Resubmission of Claims Using Revenue Codes
Jun 04, 20181606New Provider Training Scheduled for June 2018
Jun 01, 20181605Clinical Claim Editor Updated with NCCI Quarter 1 2018 Files
Jun 01, 20181604Update Regarding Claim Denials with Edit Code 0178
Jun 01, 20181603Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Update Regarding Pediatric Enhancement Rates
May 31, 20181602News Regarding Direct Data Entry Claims Solution for Providers and Allscripts-Payerpath Access
May 31, 20181601Update Regarding Claims Processed with NCCI Quarter 3 2017 Files
May 30, 20181600Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Claims Denied with Edit Code 0305
May 30, 20181599Attention Provider Type 29 (Home Health Providers): Notice of Public Workshop on June 7, 2018
May 25, 20181598Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Policy Reminder Regarding Session Limits for Individual, Group and Family Therapy
May 25, 20181597Reminder: New 2018 Anesthesia Services Codes
May 24, 20181596Update for Providers Who Bill with National Drug Codes (NDCs) Regarding Claims Voiding and Denying in Error
May 24, 20181595Payerpath Claim Submission Training for June 2018
May 23, 20181594Attention Provider Type 32 (Community Paramedicine Providers): Training Sessions Scheduled
May 17, 20181593Age Limitations Corrected for Procedure Codes 99385 and 99395
May 17, 20181592Attention Provider Type 33 (Durable Medical Equipment): Training Sessions Scheduled
May 16, 20181591New 2018 Anesthesia Services Codes
May 16, 20181590Medicaid Services Manual Chapter 1200 (Prescribed Drugs) Updated
May 15, 20181589Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Training Sessions Scheduled
May 11, 20181588Attention Provider Type 44 (Swing-bed, Acute Hospital): Per Diem Rate Updated
May 10, 20181587Attention Provider Type 85 (Applied Behavior Analysis): Training Sessions Scheduled
May 09, 20181586Attention Provider Types 30 and 83 (Personal Care Services): Training Sessions Scheduled
May 07, 20181585Reminder Regarding the New 2018 Codes and Rates, and Prior Authorization Instructions
May 04, 20181584Attention Provider Type 11 (Inpatient, Hospital): Update Regarding Claims That Paid Incorrect Rates
May 04, 20181583Online Provider Enrollment Portal – Group Enrollment Application
May 04, 20181582Urgent Announcement: Claims Pended Due to Budget Authority Have Been Released for Adjudication
May 02, 20181581Attention All Providers: Important Information Regarding Authorization Criteria Search Function
May 02, 20181580Claim Denials with Edit Code 0178
May 01, 20181579Attention Provider Type 34 (Therapy): Training Sessions Scheduled
Apr 30, 2018Volume 15, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2018 Provider Newsletter)
Apr 27, 20181578Claims Recycles for State Plan Related Rate Changes
Apr 25, 20181577Payerpath Claim Submission Training for May 2018
Apr 23, 20181576Attention Provider Type 85 (Applied Behavior Analysis): Session Limit for Procedure Code 0370T
Apr 23, 20181575New Provider Training Scheduled for May 2018
Apr 20, 20181574Attention Electronic Billing Trading Partners and Providers: Preparations for the Medicaid Management Information System Modernization Project
Apr 20, 20181573Attention Provider Type 34 (Therapy): Instructions Regarding Therapy Codes 97532/G0515
Apr 20, 20181572Update Regarding the New 2018 Codes and Rates, and Prior Authorization Instructions
Apr 17, 20181571Attention Provider Type 43 (Laboratory, Pathology Clinical): Update Regarding Claims for Presumptive Drug Screening Codes
Apr 11, 20181570Attention Provider Type 22 (Dentist) Specialties 080 (Oral Surgery) and 170 (Maxillofacial Surgery): Procedure Codes 21215, 21210 and 99238 May Be Billed
Apr 11, 20181569Claims Impacted by Edit Code 0093 (Referring Provider Cannot be a Group Provider)
Apr 11, 20181568Procedure Codes 99406 and 99407 for Smoking Cessation Counseling Are Used for Pregnant Women Only
Apr 09, 20181567Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Procedure Code A5500 Billed with E Diagnosis Codes
Apr 09, 20181566Attention Provider Type 22 (Dentist): Dental Claim Denials with Edit Code 0736 (Invalid Surface Code/Procedure)
Apr 06, 20181565Updates Regarding Provider Type 15 (Registered Dietitian) Claims and Training
Apr 06, 20181564Attention Provider Type 60 (School Based): Use National Provider Identifier (NPI) of the Ordering, Prescribing or Referring (OPR) Provider on Claims
Apr 02, 20181563Online Provider Enrollment Portal – Application Resets
Apr 02, 20181562Update Regarding Anesthesia Claims with Modifier QY
Mar 30, 20181561Attention Provider Type 21 (Podiatry): Update Regarding Expansion of Podiatry Services
Mar 30, 20181560Attention Provider Type 12 (Hospital, Outpatient): Facet Injection Codes May Be Billed
Mar 28, 20181559Attention All Providers and Electronic Billing Trading Partners: Medicaid Management Information System Enhancements Will Improve Claims and Enrollment Processes
Mar 28, 20181558Attention Provider Type 29 (Home Health Agency): Update Regarding Crossover Claims for Nursing Care
Mar 27, 20181557Information Regarding Reprocessed and Mass Adjusted Claims
Mar 27, 20181556Provider Relations Field Service Representative Team Territories Update
Mar 26, 20181555New Provider Training Scheduled for April 2018
Mar 26, 20181554Claims for Definitive G Codes that Denied in Error Have Been Reprocessed
Mar 26, 20181553Payerpath Claim Submission Training for April 2018
Mar 23, 20181552Update Regarding the Reprocessing of Claims for Ocular Services Codes Including V2020 (Vision Services, Frames)
Mar 21, 20181551Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Orthotic Procedure Code L2200
Mar 20, 20181550Claims for Presumptive and Definitive Drug Screen Services Codes
Mar 19, 20181549Attention Provider Type 19 (Nursing Facilities): Standard Bed Day Rates Updated
Mar 19, 20181548Attention Provider Type 10 (Outpatient Surgery, Hospital Based): Surgical Procedure Claims That Denied Have Been Reprocessed
Mar 16, 20181547Ambulatory Surgical Center (ASC) Rate Methodology Updated
Mar 15, 20181546Indian Health Program Rates Adjusted for Calendar Year 2018
Mar 09, 20181545Rates Updated for Adult Day Health Care Codes S5100 and S5102
Mar 09, 20181544Public Workshop Scheduled Regarding Federal Regulation Requiring the Use of an Electronic Visit Verification (EVV) System for Personal Care Services
Mar 09, 20181543Public Workshop Scheduled Regarding New Authorized Service Level for Augmented Personal Care Provided in an Adult Group Care or Assisted Living Setting
Mar 08, 20181542Medicaid Services Manual Chapters Updated
Mar 08, 20181541Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Rate Updates
Mar 07, 20181540Update Regarding Claims for Ocular Services Codes Including V2020 (Vision Services, Frames)
Mar 06, 20181539Attention Provider Type 85 (Applied Behavior Analysis) Providers: Training Materials Posted
Mar 06, 20181538Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Pediatric Enhancement Rates Expanded
Mar 05, 20181537Attention Provider Type 39 (Adult Day Health Care): Use Current Version of Form FA-17
Feb 28, 20181536Attention Provider Type 29 (Home Health Agency): Prior Authorization Submission Time Frame for Home Health and Private Duty Nursing
Feb 28, 20181535Update for Provider Type 29 (Home Health Agency): Deadline Extended for Use of New Home Health Agency Prior Authorization Request Forms
Feb 26, 20181534Upcoming Nevada Medicaid Hospice Provider Training
Feb 23, 20181533Attention Provider Type 64 (Hospice): Provider-Specific Rates Established (Updated June 4, 2018)
Feb 23, 20181532Gender Reassignment Codes 54400 through 54417 and 19318 May Be Billed (Updated May 8, 2018)
Feb 22, 20181531Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers): Dental Services Claims for Medicaid Managed Care Recipients Reprocessed
Feb 22, 20181530New Provider Training Scheduled for March 2018
Feb 22, 20181529Payerpath Claim Submission Training for March 2018
Feb 20, 20181528Attention Payerpath Users: Electronic Claim Processing Information
Feb 16, 20181527Attention Provider Type 22 (Dentist): Use Individual Servicing Provider’s National Provider Identifier on Claims
Feb 16, 20181526Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for 2018
Feb 12, 20181525Provider Web Portal Update: “Create Authorization” Function Enhancement
Feb 12, 20181524Reminder: New Provider Type 15 (Registered Dietitian) Established to Provide Medical Nutrition Therapy Services
Feb 12, 20181523Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Feb 12, 20181522Attention Providers Who Bill with National Drug Codes (NDCs) Regarding Some Claims Voiding and Denying in Error
Feb 08, 20181521Behavioral Health Provider Types 14 and 82 Invited to Take DHCFP Provider Training Survey
Feb 06, 20181520Vaccine Coverage Reminder
Feb 06, 20181519Attention Hospice Providers: Hospice Billing Authorization Letters No Longer Mailed
Feb 06, 20181518Update: Claims with Ocular Procedure Code 92014 Billed with 92015 and Code 92060 Billed with 92083 Are No Longer Denying in Error
Feb 05, 20181517Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.) Specialty 134 (Pain Management): Update Regarding Claims for Surgical and Laboratory Procedure Codes
Feb 05, 20181516Update Regarding Claims for Casting Q Codes
Feb 02, 20181515Attention Provider Type 33 (DMEPOS): Update Regarding Claims for Procedure Code A4606
Feb 02, 20181514Drug Use Review (DUR) Board Approves Change Effective February 5, 2018
Feb 02, 20181513Rates for Dialysis Codes 90945 and 90999 Adjusted for 2018
Feb 01, 20181512Attention Providers Who Submit UB-04 Claim Forms: Update Regarding the Reprocessing of UB-04 Claims That Denied in Error with Edit Code 0683
Feb 01, 20181511Provider Type 37 (Intravenous Therapy) Inactivated
Jan 30, 20181510Amerigroup Community Care Rebranding to Anthem Blue Cross and Blue Shield Healthcare Solutions
Jan 29, 20181509Attention Provider Type 29: Home Health Agency Prior Authorization Request Form Revised
Jan 26, 20181508Update Regarding Claims for Cesarean Sections
Jan 25, 20181507Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers): Update Regarding Dental Services Claims for Medicaid Managed Care Recipients
Jan 25, 20181506New Provider Training Scheduled in February 2018
Jan 24, 20181505Attention Personal Care Services Providers: Authorization Request Forms (FA-24, FA-24T and FA-24C) Must Be Correctly Submitted
Jan 23, 20181504Attention Provider Type 22 (Dentist): Dental Claims Denying with Edit Code 0736
Jan 23, 20181503Attention Provider Type 22 (Dentist): Claims for Dental Evaluation Codes Denying with Edit Code 1178
Jan 23, 20181502Attention Provider Type 11 (Hospital, Inpatient): Update Regarding Claims for Room & Board Revenue Codes 113 and 129
Jan 23, 20181501Payerpath Claim Submission Training for February 2018
Jan 16, 20181500Attention Provider Type 29 (Home Health Agency): Notification Regarding Claims Cutback in Error
Jan 12, 20181499Individual Personal Care Assistant (PCA) Enrollment and National Provider Identifier Requirement
Jan 12, 20181498Notification Regarding Claims with Ocular Procedure Code 92014 Billed with 92015 and Code 92060 Billed with 92083
Jan 11, 2018Volume 14, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2017 Provider Newsletter)
Jan 09, 20181497Medicaid Services Manual Chapters Updated
Jan 04, 201814962018 New Codes Update Completed
Jan 02, 20181495Medicare Part-D Co-Pay Change
Jan 02, 20181494Medicaid Services Manual Chapter 1200 Updated
Dec 29, 20171493Drug Use Review (DUR) Board Approves Changes Effective January 1, 2018
Dec 29, 201714921099-Misc. Forms to be Mailed to Providers on January 26, 2018
Dec 29, 20171491Training Scheduled for New Providers and Nursing Facilities in January 2018
Dec 29, 20171490Payerpath Claim Submission Training for January 2018
Dec 28, 20171489The Division of Health Care Financing and Policy (DHCFP) Dental Benefit Administrator (DBA) Onboarding Command Center
Dec 22, 20171488Coverage Requirements for Contraceptive Drugs, Devices and Services to Implement on January 1, 2018
Dec 22, 20171487Diabetic Supply Changes for Nevada Medicaid
Dec 21, 20171486Prior Authorization Information Regarding Changes to Medicaid Managed Care Dental Services
Dec 21, 20171485Clinical Claim Editor Updated with Knowledge Base V60 Files
Dec 20, 20171484Physician and Laboratory Payment Methodology Changes Implemented
Dec 19, 20171483Professional Claims Require a Primary Diagnosis Code (Updated January 11, 2018)
Dec 18, 20171482Attention Provider Type 21 (Podiatry): Expansion of Podiatry Services
Dec 15, 20171481New Provider Type 15 (Registered Dietitian) Established to Provide Medical Nutrition Therapy Services
Dec 08, 20171480Changes to Medicaid Managed Care Dental Services
Dec 08, 20171479Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.) Specialty 134 (Pain Management): Notification Regarding Claims for Surgical and Laboratory Procedure Codes
Dec 08, 20171478Attention Provider Type 29 (Home Health Agency): Notification Regarding Crossover Claims for Nursing Care
Dec 05, 20171477Online Provider Enrollment Portal Attachments Page Corrected to Accept Attachments Up to 15 MB
Dec 05, 20171476Medicaid Services Manual Chapter 400 Updated
Dec 04, 20171475Update Regarding Reprocessing of Claims with ICD-10 Glaucoma Codes
Dec 01, 20171474Date Scheduled for Nevada Medicaid Applied Behavior Analysis Provider Training
Nov 29, 20171473Medicaid Services Manual Chapter 3100 Updated
Nov 22, 20171472Client Treatment History Form (For Medicaid Orthodontic Treatment) (FA-26) Updated
Nov 21, 20171471Payerpath Claim Submission Training for December 2017
Nov 16, 20171470Upcoming Nevada Medicaid Applied Behavior Analysis Provider Training
Nov 13, 20171469Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) Procedure Codes Updated
Nov 13, 20171468Notification Regarding Anesthesia Claims with Modifier QY
Nov 09, 20171467Clinical Claim Editor Updated with NCCI Quarter 3 2017 Files
Nov 09, 20171466Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Notification Regarding Claims for Procedure Code A5500 Billed with E Diagnosis Codes
Nov 08, 20171465Attention Provider Types 10(Outpatient Surgery, Hospital Based), 11(Hospital, Inpatient), 12(Hospital, Outpatient) and 75(Critical Access Hospital (CAH), Inpatient): New Revenue Code 0815 (Allogeneic Stem Cell Acquisition Services/Donor Services)
Oct 30, 20171464Payerpath Claim Submission Training for November 2017
Oct 26, 20171463Attention Personal Care Services Provider Types 30 and 83: Instructions Regarding Recipient Eligibility Transfers from Managed Care Organization to Fee-for-Service
Oct 26, 2017Volume 14, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2017 Provider Newsletter)
Oct 18, 20171462Attention Provider Type 19 (Nursing Facility) Specialties 184 (Free Standing) and 186 (Veterans Facility): Brown Bag Training for Long Term Care Facility Staff Involved with Regulatory Compliance
Oct 18, 20171461Attention Personal Care Services (PCS) Provider Types 30 and 83: Effective December 1, 2017, Legally Responsible Individual (LRI) Information Will Be Required for PCS Assessment Requests
Oct 18, 20171460Casting Q Codes Reactivated (Updated January 12, 2018)
Oct 18, 20171459Attention Providers Who Submit UB-04 Claim Forms: Notification Regarding UB-04 Claims That Denied in Error with Edit Code 0683
Oct 09, 20171458Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Procedure Code L7403
Oct 09, 20171457Attention Provider Types 12 (Outpatient, Hospital) and 17 (Special Clinics): Notification Regarding Claims for Therapy Evaluation Codes
Oct 06, 20171456Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (Palivizumab)
Oct 06, 20171455Insulin Quantity Limit Adjusted to Allow 65 to 120 Day Supply
Oct 06, 20171454Dates Scheduled for Nevada Medicaid Community Paramedicine Training Sessions
Oct 06, 20171453Notification Regarding Claims with Third Party Liability that Denied
Oct 02, 20171452Legislative Assembly Bill AB473 Extends NRS 422.4025 Sunset until June 30, 2019
Sep 27, 20171451Payerpath Claim Submission Training for October 2017
Sep 26, 20171450Medicaid Services Manual Chapter 3800 Updated
Sep 25, 20171449Attention Hospice Provider Types 64 and 65: Do Not Include Prior Authorization Number on Claim Forms (Updated October 30, 2017)
Sep 21, 20171448Attention All Providers: Claims for ICD-10 Diagnosis Code Z68.54 Denying in Error (Updated February 16, 2018)
Sep 21, 20171447Updated Nevada Medicaid Informational Bulletin on Medications and Services for Substance Use Disorders
Sep 19, 20171446Behavioral Health Provider Types 14 and 82 Invited to Take DHCFP Provider Training Survey
Sep 19, 20171445Attention Practitioners, Ambulatory Surgical Centers, Outpatient Hospitals and Durable Medical Equipment Providers: Reminder Regarding National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUEs)
Sep 19, 20171444Attention Provider Type 32 (Ambulance, Air or Ground): Urgent Notification Regarding Claims for Ambulance Services Denied as Duplicate Claims
Sep 14, 20171443Influenza and Polio Vaccine Procedure Codes Opened for Billing
Sep 11, 20171442New Managed Care Dental Benefits Administrator Selected
Sep 11, 20171441Reminder Regarding Durable Medical Equipment (DME) Procedure-to-Procedure (PTP) Edits for Procedure Code Combinations
Sep 11, 20171440Reminder: Wheelchair Repair Form (FA-1D) Must Be Filled Out Completely
Sep 08, 20171439Update Regarding Some Claims that Cut Back or Denied in Error with Edit Code 0476
Sep 05, 20171438Attention Provider Type 22 (Dentist): Claims for Dental Codes D3110, D3120, D3220 and D8660
Sep 05, 20171437Attention All Providers: Important Reminders Regarding Online Prior Authorizations
Sep 01, 20171436Attention Provider Types 56 (Inpatient Rehabilitation and Long Term Acute Care (LTAC) Specialty Hospitals) and 75 (Critical Access Hospital (CAH), Inpatient): Notification Regarding Claims for Room & Board Revenue Codes 113 and 129
Aug 30, 20171435Provider Types Allowed to Bill Secondary Diagnosis Codes
Aug 29, 20171434Upcoming Nevada Medicaid Community Paramedicine Provider Training and Enrollment Sessions
Aug 25, 20171433Payerpath Claim Submission Training for September 2017
Aug 24, 20171432Attention Provider Type 17, Specialty 181 (FQHC): Notification Regarding Dental Services Claims for Medicaid Managed Care Recipients
Aug 23, 20171431Attention Provider Type 41 (Optician, Optical Business): Limitations for Prosthetic Eye Services
Aug 23, 20171430Clinical Claim Editor Updated with Knowledge Base V59 Files
Aug 22, 20171429Attention Personal Care Services Provider Types 30 and 83: Flexibility of Services and Number of Visits per Day
Aug 17, 20171428Medicaid Services Manual Chapters Updated
Aug 15, 20171427Attention Provider Type 11 (Hospital, Inpatient): Notification Regarding Claims for Room & Board Revenue Codes 113 and 129 (Updated August 29, 2017)
Aug 14, 20171426Notification Regarding Denial of Claims with ICD-10 Glaucoma Codes as the Primary Diagnosis Code
Aug 14, 20171425Attention Certified Community Behavioral Health Clinics: Notification Regarding Claim Denials
Aug 14, 20171424Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Notification Regarding Claims for Procedure Code L7403
Aug 08, 20171423Aetna Better Health Managed Care Organization Recipients to be Given a 90-Day Choice Period
Aug 04, 20171422Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Notification Regarding Some Claims Paying Incorrectly
Aug 03, 20171421Attention Provider Type 34 (Therapy): Update Regarding Claims for Procedure Codes 97597, 97598, 97602, 97605 and 97606
Aug 03, 20171420Attention All Providers: In-Person Provider Training Available in Reno Regarding Prior Authorizations on the Provider Web Portal (PWP)
Jul 31, 20171419Attention Personal Care Services Providers: Recipient Requests for Copy of Functional Assessment Service Plan
Jul 31, 20171418Drug Use Review (DUR) Board Approves Changes Effective August 1, 2017
Jul 28, 20171417Transition of Aetna Better Health Managed Care Organization
Jul 27, 20171416Payerpath Claim Submission Training for August 2017
Jul 24, 20171415Nevada Medicaid Provider Web Portal (PWP) Upgrade Has Been Implemented
Jul 21, 20171414Attention Provider Type 38 (Waiver for Individuals with Intellectual Disabilities and Related Conditions): Service Limit Updates
Jul 21, 20171413Attention All Providers: Nevada Medicaid Provider Web Portal (PWP) Upgrade Implements on July 24, 2017
Jul 20, 20171412Attention All Providers: Additional Provider Training Available Regarding Upgrades to Nevada Medicaid Provider Web Portal (PWP)
Jul 19, 20171411Attention Provider Type 11 (Hospital, Inpatient): New Out-of-State Nursing Facility Placement Forms
Jul 19, 20171410Medicaid Services Manual Chapters Updated
Jul 18, 20171409Urgent Reminder Regarding Submitting Prior Authorization Requests on Provider Web Portal
Jul 17, 20171408Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for the Remainder of 2017 and Early 2018
Jul 14, 2017Volume 14, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2017 Provider Newsletter) (Updated August 4, 2017)
Jul 14, 20171407Attention All Providers Requesting Prior Authorizations via Fax before July 24, 2017
Jul 05, 20171406Fingerprint-based Criminal Background Checks (FCBC) for “High” Risk Providers
Jun 30, 20171405Division of Health Care Financing and Policy Managed Care Organization Onboarding Command Center
Jun 30, 20171404Attention Provider Type 22 (Dentist): Changes Regarding Dental Services for Medicaid Managed Care Recipients
Jun 30, 201714032017 Provider Web Portal 5.0 Training Survey
Jun 29, 20171402Attention Provider Type 22 (Dentist) and Provider Type 22 with Specialty Code 079 (Orthodontist): Regarding Policy Changes for Medical Necessity for Orthodontia Services
Jun 26, 20171401Attention Provider Type 19 (Nursing Facility): Provider Training for Nursing Facilities on the Behaviorally Complex Care Program (BCCP)
Jun 26, 20171400Attention All Providers: Update Regarding Nevada Medicaid Fiscal Agent
Jun 23, 20171399Outpatient Ambulatory Surgical Center (ASC) Level AS7 Claims Reprocessed
Jun 23, 20171398Update for Provider Type 20 (Physician, M.D., Osteopath, D.O.): Pediatric Surgery Claims Reprocessed
Jun 23, 20171397Payerpath Claim Submission Training for July 2017
Jun 22, 20171396Urgent Notice for All Providers: Nevada Medicaid Provider Web Portal (PWP) Upgrade Postponed
Jun 22, 20171395Attention Therapy Providers: Therapy Services Require Prior Authorization
Jun 19, 20171394Ocular Services Codes Updated (Updated August 25, 2017)
Jun 19, 20171393Clinical Claim Editor Updated with NCCI Quarter 2 2017 Files
Jun 16, 20171392Urgent: Payment Delay for Certain Claims
Jun 12, 20171391Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Jun 08, 20171390Prior Authorization Requests During Provider Web Portal Upgrade Implementation (Updated June 22, 2017)
Jun 05, 20171389Important Changes to Medicaid Managed Care Dental Services (Updated August 29, 2017)
Jun 02, 20171388Update Regarding Electronic 837I Inpatient Claims with ICD-10 Codes
Jun 01, 20171387New Process for Provider Refunds
Jun 01, 20171386Attention All Providers: Nevada Medicaid Provider Web Portal (PWP) Upgrade to Implement on June 26, 2017 (Updated June 22, 2017)
May 30, 20171385Attention Provider Type 33 (DMEPOS): Claims for DMEPOS Services Denied with Limitation Edits to be Reprocessed
May 30, 20171384Attention Provider Type 33 (DMEPOS): Claims for HCPCS Code A4606 to be Reprocessed
May 30, 20171383Attention Provider Type 29 (Home Health Agency): Update Regarding Claims for Nursing Services Codes
May 26, 20171382Attention All Providers: Update Regarding Nevada Medicaid Fiscal Agent
May 26, 20171381Attention Outpatient Providers Billing on the UB-04 Claim Form: Instructions for Value Codes Fields on UB-04 Claim and Electronic 837I Transaction
May 26, 20171380Attention All Nevada Medicaid Providers: Managed Care Organization (MCO) Changes Effective 2017
May 25, 20171379Attention All Providers: Provider Training Available Regarding Upgrades to Nevada Medicaid Provider Web Portal (PWP) (Updated June 22, 2017)
May 25, 20171378Attention Provider Types 17 (Specialty 182), 47, 51, 52, 78 and 79: Update Regarding Indian Health Program Claims
May 22, 20171377Medicaid Services Manual Chapters Updated
May 19, 20171376Attention Provider Types 12 and 17: Claims with New 2017 Therapy Codes
May 19, 20171375Payerpath Claim Submission Training for June 2017
May 18, 20171374Attention Provider Type 85: Claims with CPT Codes 92507 and 0364T, 0365T, 0368T and 0369T
May 17, 20171373Claims Affected by Balance Due Amount Alteration will be Automatically Reprocessed
May 16, 20171372Attention All Providers: Reminder of Requirements Regarding Ordering, Prescribing or Referring Provider on Claims (Updated July 27, 2017)
May 05, 20171371Attention Provider Type 19 Specialties 184 and 186: Brown Bag Training for Long Term Care Facility Staff Involved with Regulatory Compliance
May 05, 20171370Criteria for Practitioners to Dispense Medications
May 04, 20171369Urgent: Payment Delay for Certain Claims (Updated June 19, 2017)
May 04, 20171368Update Regarding Diagnosis Codes for Disorders of Bone Density and Structure
May 04, 20171367Attention Provider Types 34, 20, 24 and 77: Procedure Codes 97597, 97598, 97602, 97605 and 97606
May 03, 20171366Update for Provider Types 45 and 81: Regarding Claims for CPT Codes 90945 and 90999
May 02, 20171365Drug Use Review (DUR) Board Approves Changes to MSM Chapter 1200
May 01, 20171364Quantity Limits Approved at January 2017 Drug Use Review Board Meeting
Apr 28, 20171363Urgent Request for Provider Types 14, 26 and 82: Providers and Employers Invited to Take DHCFP Survey Regarding Basic Skills Training Services
Apr 27, 20171362Attention Provider Types 10 and 46: Update Regarding Claims for Corneal Procurement
Apr 26, 20171361Attention Provider Type 17 Specialty 215: Claims for Procedure Code H0001
Apr 26, 20171360Payerpath Claim Submission Training for May 2017
Apr 25, 20171359Update for Provider Type 33: Regarding Claims that Denied Due to Prior Authorization Requirement
Apr 24, 20171358Coverage, Limitations and Prior Authorization Requirements for the Nevada Medicaid and Nevada Check Up Program Updated
Apr 24, 2017Volume 14, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2017 Provider Newsletter)
Apr 24, 20171357Attention Provider Types 19, 56, 63 and 68: Update Regarding Claims for Revenue Code 0183
Apr 20, 20171356Web Seminar on April 24, 2017, Regarding Opioid Policy Changes
Apr 20, 20171355Attention Provider Types 11 and 75: Update Regarding Claim Denials for Absence of Sterilization Consent Form
Apr 20, 20171354Attention Provider Type 33: Policy Reminders Regarding Oxygen Services
Apr 17, 20171353Recipients to be Enrolled into Managed Care upon Approval of Medicaid Eligibility
Apr 13, 20171352Attention Provider Types 12, 17 (specialties 166, 169, 171, 174, 179, 183, 195, 198 and 215), 20, 24, 43, 60, 74 and 77: Claims for Presumptive Drug Screening CPT Codes 80305, 80306 and 80307
Apr 13, 20171351Attention Provider Type 22: Update on Claims for Dental Codes D0330, D2920 and D5899
Apr 13, 20171350Clinical Claim Editor Updated with NCCI Quarter 1 2017 Files
Apr 12, 20171349Attention Dental Providers: Update Regarding Claims for Denture Reline Codes
Apr 11, 20171348Attention Provider Types 14, 26 and 82: Public Workshop Scheduled Regarding Basic Skills Training (BST) Policy and Rate Change
Apr 10, 20171347Attention All Providers: Update Regarding Upgrades to Nevada Medicaid Provider Web Portal (PWP) (Updated June 22, 2017)
Apr 10, 20171346New Training Portal Available to Providers
Apr 07, 20171345Claims for Physician-administered Drugs Billed with Non-covered Charges that Denied Will Be Reprocessed
Apr 07, 20171344Attention Provider Type 64 (Hospice): Update Regarding Instructions for Claims for Revenue Code 0651 and HCPCS Code Q5001
Apr 06, 20171343Medicaid Services Manual Chapter 1300 Updated
Apr 06, 20171342Reminder: Multiple Attachments Allowed with Online Prior Authorization Requests
Apr 06, 20171341Attention Provider Types 17 (Specialty 182), 47, 51, 52, 78 and 79: Update Regarding Reprocessing of Indian Health Program Claims
Apr 05, 20171340Attention Provider Types 30 and 83: Upcoming Upgrades to Nevada Medicaid Provider Web Portal (PWP) Will Impact Personal Care Services (PCS) Providers
Apr 05, 20171339Attention Provider Type 22 and Provider Type 22 Specialty 079: Upcoming Upgrades to Nevada Medicaid Provider Web Portal (PWP) Will Impact Dental and Orthodontia Providers
Apr 05, 20171338Attention Provider Type 39: Upcoming Upgrades to Nevada Medicaid Provider Web Portal (PWP) Will Impact Adult Day Health Care (ADHC) Providers
Apr 03, 20171337Attention Hospice Providers: Use Updated Physician Certification of Terminal Illness (FA-94)
Mar 31, 20171336Update for Provider Types 38, 48, 57, 58, 59, 83, 30 and 39: New Web-based Serious Occurrence Report (SOR) Form to be Implemented April 1, 2017
Mar 31, 20171335Notice Regarding Three State Plan Amendments for Nevada Medicaid: New Ambulatory Surgical Centers (ASC) Methodology; Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS); and Provider Payment Realignment
Mar 30, 20171334Opioid Therapeutic Class to be Added to Medicaid Services Manual (MSM) Chapter 1200 (Prescribed Drugs) (Updated April 28, 2017)
Mar 28, 20171333Upcoming Upgrades to Nevada Medicaid Provider Web Portal (PWP) Will Impact All Providers, Including Dental/Orthodontia, Adult Day Health Care and Personal Care Services Providers (Updated June 22, 2017)
Mar 28, 20171332Update for All Providers Regarding the New 2017 CPT, HCPCS and ADA Codes
Mar 27, 20171331Attention All Nevada Medicaid Providers: Managed Care Organization (MCO) Changes Effective 2017
Mar 27, 20171330Reminder for Payerpath Users: Include National Provider Identifier (NPI) of the Ordering, Prescribing and Referring (OPR) Provider on Claims
Mar 27, 20171329Payerpath Claim Submission Training for April 2017
Mar 24, 20171328Attention Provider Types 17 (Specialty 182), 47, 51, 52, 78 and 79: Indian Health Program Rates Adjusted for Calendar Year 2017
Mar 20, 20171327Update for All Providers Regarding the New 2017 CPT, HCPCS and ADA Codes
Mar 20, 20171326Attention Provider Types 14 and 54: Targeted Case Management for Non-SED and Non-SMI Service Limitation Reduction
Mar 17, 20171325Attention Provider Type 12: Claims for Facet Joint Injection Codes and HIV Antigen/Antibodies Test Code 87389
Mar 17, 20171324Attention Provider Type 22 (Dentist) with Specialties 80 (Oral Surgeon) or 170 (Maxillofacial Surgeon) Regarding Claims for Current Procedural Terminology (CPT) Codes
Mar 15, 20171323Attention Provider Type 39: Use Updated Form FA-17 (Adult Day Health Care Services Prior Authorization Request)
Mar 15, 20171322Reminder for Out-of-State and Catchment Area Providers: Use In-State Laboratory Services When Available
Mar 14, 20171321Medicaid Services Manual Chapters Updated
Mar 09, 20171320Clinical Claim Editor Updated with Knowledge Base V58 Files
Mar 07, 20171319Attention Provider Types 48, 57, 58 and 59: Update Regarding Denied Claims for Procedure Code T1016
Feb 27, 20171318Attention Provider Type 39: Training Scheduled Regarding Prior Authorization and DHHS Services for ADHC Services
Feb 27, 20171317Attention Provider Types 10 and 46: Bill Corneal Procurement with Code V2785; Letter of Agreement No Longer Required
Feb 27, 20171316Attention Provider Type 11: Inpatient Hospital Corneal Procurement Requirements
Feb 27, 20171315Updated Notice for Provider Type 63: Residential Treatment Center (RTC) AKA Psychiatric Residential Treatment Facility (PRTF) Regarding Critical Event Reporting
Feb 23, 20171314Attention Prescribers and Pharmacies: Mandatory Three-Month Supplies for Maintenance Medications
Feb 23, 20171313Payerpath Claim Submission Training for March 2017
Feb 16, 20171312Update for Provider Types 12, 17 (specialties 174, 183 and 195), 20, 24, 43, 72 and 77 Regarding Claims for Drug Testing Codes
Feb 16, 20171311Reminder: Procedure Codes for Smoking Cessation Counseling for Pregnant Women
Feb 14, 20171310Attention Provider Types 64 and 65: Prior Authorization to be Required for Hospice Services
Feb 14, 20171309Attention Provider Type 64: Procedure Codes G0299 and G0300 Replace Code G0162 for Routine Home Care (RHC) Hospice Services
Feb 14, 20171308Claims for HCPCS Code G6015 for Radiation Treatment Delivery
Feb 10, 20171307Pharmacy Announcement: Bypass Function Added for Claims for Children under Age 18 with a Diagnosis Related to a Seizure Disorder when Prescriber is a Neurologist (Updated March 24, 2017)
Feb 07, 20171306Attention Personal Care Services Providers: Timely Submission of Requests for Annual Reassessments
Feb 06, 20171305Use Modifier KX or Condition Code 45 for Claims for Transgender Individuals
Jan 31, 20171304Attention Provider Type 22 with Specialty Code 079 (Orthodontist): Training Canceled Regarding MSM Chapter 1000 Policy Changes for Medical Necessity for Orthodontia Services (Updated February 7, 2017)
Jan 26, 20171303Attention Provider Type 29: Reimbursement Rates Adjusted
Jan 26, 20171302Attention Provider Types 20 (Specialty 170) and 22: Update Regarding Dental Anesthesia Codes D9223 and D9243 Service Limitation
Jan 23, 20171301Attention Provider Types 30 and 83: New Federal Regulation Requiring the Use of an Electronic Visit Verification (EVV) System for Personal Care Services
Jan 23, 20171300Provider Web Portal Password Requirements Updated
Jan 20, 20171299Attention Provider Types 12, 17, 20, 24, 34, 60 and 77: Instructions for Expired and New Therapy Codes
Jan 20, 20171298Payerpath Claim Submission Training for February 2017
Jan 18, 20171297Clinical Claim Editor Updated with NCCI Quarter 4 2016 Files
Jan 16, 20171296Attention Provider Types 45 and 81: Claims for CPT Codes 90945 and 90999 Denied for Duplicate Date of Service
Jan 13, 20171295Attention Provider Types 12, 17 (Specialties 174, 183, 195), 20, 24, 43, 72 and 77: Instructions for Expired and New Drug Screen Codes
Jan 13, 2017Volume 13, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2016 Provider Newsletter)
Jan 13, 20171294Status of 2017 CPT, HCPCS and ADA New Codes
Jan 11, 20171293Hospital Presumptive Eligibility Annual Training 2017 Calendar Dates and Sign-up Guidelines (Updated January 26, 2017)
Jan 11, 20171292Attention Dental Providers: Service Limitation for Denture Reline Codes
Jan 10, 201712912017 Annual ICD-10 Code Update
Jan 10, 20171290Diabetic Supply Changes for Nevada Medicaid
Jan 05, 20171289Medicaid Services Manual Chapters Updated
Dec 30, 20161288Pharmacy Co-Pay Increase for Brand Name Medications for Dual-Eligible Medicare Recipients
Dec 30, 20161287Pharmacy Announcement Regarding Claims for Snake Anti-Venom
Dec 30, 20161286Quantity Limit for Birth Control Pills
Dec 29, 20161285Attention Provider Types 12, 17, 20, 24, 74 and 77: New ICD-10 Diagnosis Codes for Contraceptive Methods
Dec 28, 20161284Payerpath Claim Submission Training for January 2017
Dec 22, 20161283Attention Pharmacies: Emergency Supply Policy
Dec 19, 20161282Attention Provider Type 10: Codes for Surgical Implant Services
Dec 15, 20161281Attention Provider Type 47: Update Regarding Indian Health Program Crossover Encounter Claims
Dec 14, 20161280Attention Provider Types 45 and 81: CPT Codes 90999 and 90945 Updated to 2017 CMS Base Rates
Dec 09, 20161279Claims for Disorders of Bone Density and Structure that Paid will be Reprocessed (Updated May 4, 2017)
Dec 09, 20161278Medicaid Services Manual Chapters Updated
Dec 08, 20161277Claims with ICD-10 Diagnosis Code Z80.42
Dec 05, 20161276Attention Provider Type 74: Codes Billable by Nurse Midwives
Dec 02, 20161275Termination of Service Notices
Nov 23, 20161274Attention Provider Type 19 (Nursing Facility): Provider Training Scheduled for the Behaviorally Complex Care Program (BCCP)
Nov 23, 20161273Attention Dental Professionals: Training Available Regarding Safe Opioid Prescribing for Acute Dental Pain
Nov 22, 20161272Attention Provider Types 12, 17 (specialties 174, 183 and 195), 20, 24, 43, 72 and 77: Billing Instructions for Drug Testing Codes
Nov 22, 20161271Attention Provider Types 34 and 44: Do Not Bill Bandage Supply Codes
Nov 21, 20161270Payerpath Claim Submission Training for December 2016
Nov 14, 20161269Update Regarding Claims Processed with NCCI Quarter 3 2016 Files
Nov 14, 20161268Attention Provider Types 20, 24 and 77: Claims for Colonoscopy Procedure Codes Reprocessed
Nov 10, 20161267Attention Provider Types 48, 57, 58 and 59: Denied Claims for Procedure Code T1016
Nov 10, 20161266Outpatient Claims That Zero Paid Instead of Denying
Nov 10, 20161265Revalidation Application Must Be Processed Before Provider’s Termination Due Date
Nov 10, 20161264Claims for Cesarean Sections
Nov 07, 20161263Drug Use Review Board (DUR) Approves Changes to MSM Chapter 1200 Effective November 9, 2016
Nov 07, 20161262Annual Rate Adjustment for Rural Health Clinics (RHC) Provider Type 17, Specialty 180
Nov 04, 20161261Attention Provider Types 20, 22, 25, 33, 41 and 76: Dental History Request Form (FA-26A) and Durable Medical Equipment (DME) and Vision History Request Form (FA-2) to be Discontinued; Use Treatment History Search Function
Nov 04, 20161260Pharmacy Benefit Manager Changes from CatamaranRx to OptumRx
Nov 03, 20161259Nevada Medicaid Informational Bulletin on Medications and Services for Substance Use Disorders
Nov 02, 20161258Reminders for Provider Types 64 and 65 Regarding Hospice Forms
Oct 31, 20161257Outpatient Physician-Administered Drug Claims That Denied or Voided with Edit Code 0162 to be Reprocessed
Oct 24, 20161256Attention All Providers: New Form for Requesting Termination of Service with Existing Provider (Updated November 3, 2016)
Oct 24, 20161255Payerpath Claim Submission Training for November 2016
Oct 21, 201612542016 Annual Medicaid Conference Presentations and Survey
Oct 21, 20161253Attention Provider Type 20: Claims for CPT Codes 36478 and 36479 Reprocessed
Oct 20, 20161252Attention Provider Types 30 and 83: Additional Instructions for Personal Care Services Transfer Requests
Oct 20, 20161251Provider Contact for Nursing Facility Placement Difficulties
Oct 19, 20161250Attention Provider Type 64: Routine Home Care Hospice Rate Methodology Update
Oct 17, 20161249Attention Provider Types 20, 24 and 77: Colonoscopy Procedure Codes Updated
Oct 14, 20161248Drug Quantity Limits Effective October 17, 2016
Oct 14, 20161247Claims Submitted with a National Provider Identifier (NPI) Associated to More Than One Provider
Oct 13, 20161246Radiology Claims with Modifier 26 and No Initial Claim on File
Oct 12, 20161245Attention Provider Types 38, 48, 57, 58, 59, 83, 30 and 39: Update Regarding Serious Occurrence Reporting Methods
Oct 12, 20161244Use New Email Addresses to Contact Hewlett Packard Enterprise
Oct 10, 20161243New Enhancement to the Automated Response System (ARS)
Oct 06, 20161242Nevada Provider Portal Now Includes Search Functionality
Oct 05, 20161241Attention Provider Types 20 (Specialty 170) and 22: Dental Anesthesia Codes D9223 and D9243 Service Limitation
Oct 05, 20161240Attention Provider Types 20, 24 and 77: Correct Rates Restored for Procedure Code 19296
Oct 05, 20161239Update Regarding Claims Processed with NCCI Quarter 2 2016 Files
Sep 30, 2016Volume 13, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2016 Provider Newsletter)
Sep 30, 20161238New Training Portal Available to Providers
Sep 29, 20161237Provider Enrollment and Revalidation Support
Sep 28, 20161236Clinical Claim Editor Updated with NCCI Quarter 3 2016 Files
Sep 28, 20161235Attention Provider Type 32 (Ambulance, Air or Ground): Community Paramedicine Services Claims Update
Sep 28, 20161234Payerpath Claim Submission Training for October 2016
Sep 28, 20161233Medicaid Services Manual Chapters Updated
Sep 28, 20161232Anesthesia Claims with Modifiers QK and QX that Paid Incorrect Rate Reprocessed
Sep 23, 20161231Update Regarding Outpatient Claims Affected by Edit Code 0210
Sep 16, 20161230Attention Provider Types 17 (Specialty 182), 47, 51, 52, 78 and 79: Update Regarding Indian Health Program Claims
Sep 16, 20161229Attention Free-Standing Nursing Facility Provider Type 19 Specialties 184 and 186
Sep 16, 20161228Attention Provider Type 33: Do Not Use Modifier MS with HCPCS Code E0202
Sep 16, 20161227Attention Provider Type 33: Claim Denials for HCPCS Codes E0570 and K0002
Sep 12, 20161226Pharmacy Providers: Instructions for Claims for Gender Identity Disorder Hormones
Sep 12, 20161225Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Sep 12, 20161224Attention Provider Types 20 (Specialty 170) and 22 (Specialty 079): Age Restriction for Orthodontic Procedure Codes
Sep 09, 20161223Nevada Medicaid Reimburses for Medically Necessary Zika Virus Infection Diagnostic Services
Sep 08, 20161222Prior Authorization “View Authorization Status” Page Enhancement
Sep 07, 20161221Authorization Denial Options Reminder
Sep 02, 20161220Attention Provider Types 30 and 83: New Form for Requesting Transfer to New Personal Care Services (PCS) Agency
Sep 01, 20161219Register Today for the 2016 Annual Medicaid Conference
Sep 01, 20161218Provider Enrollment and Revalidation: Background, Ownership and Disclosure of Disclosing Entity
Sep 01, 20161217Payerpath Claim Submission Training for September 2016
Sep 01, 20161216Attention Provider Types 20, 24 and 77: Colonoscopy Codes May Be Billed
Aug 26, 20161215Provider Services Field Representative Team Territories Update
Aug 25, 20161214Update Regarding Claims for CPT Code 95811 that Denied for Edit Code 1192
Aug 25, 20161213Attention Provider Type 17 Specialty 215: Procedure Code H0002
Aug 25, 20161212Attention Provider Type 22 Specialty 079: Update Regarding Claims for Codes D0330, D0340, D0350 and D0470
Aug 24, 20161211Nevada Medicaid Website Updated with New Design
Aug 24, 20161210New Provider Categories and Provider Specialties Enhance the “Search Provider” Feature on the Provider Web Portal
Aug 22, 20161209Save The Date: 2016 Annual Medicaid Conference Scheduled for October
Aug 19, 20161208Attention Provider Types 76 and 17 (Specialties 174, 183, 195, 196, 197, and 196): Do Not Bill CPT Code 92586 with Modifier 26
Aug 19, 20161207Reminder Regarding Reconsiderations for Inpatient Medical Surgical and Inpatient Behavioral Health Services
Aug 17, 20161206Attention Provider Types 45 and 81: Claims for Procedure Codes 90999 and 90945
Aug 16, 20161205Don't Wait Until the Last Minute to Revalidate
Aug 12, 20161204Nevada Medicaid Website to Be Updated with New Design (Updated August 24, 2016)
Aug 12, 20161203Durable Medical Equipment (DME) Procedure-to-Procedure (PTP) Edits to Be Added to Medicaid Management Information System (MMIS)
Aug 11, 20161202Telehealth Services Expanded to Additional Provider Types
Aug 11, 20161201Attention Hospice Provider Types 64 and 65: Notice of Public Workshop on August 23, 2016
Aug 09, 20161200Policy Regarding Long Acting Reversible Contraceptives (LARC)
Aug 08, 20161199Update for Provider Type 33: Prior Authorization Requirement Updated for Some DMEPOS Procedure Codes
Aug 04, 20161198Health Management Systems, Inc. (HMS) Third Party Liability Contact Information
Aug 03, 20161197Attention Provider Type 22: Update Regarding American Dental Association (ADA) Dental Codes D9223 and D9243
Aug 03, 20161196Medicaid Services Manual Chapters Updated
Aug 02, 20161195Attention Provider Types 12, 17 (Specialties 166, 174, 179, 181, 182, 195, 196, 197 and 198), 20, 24, 74 and 77: Meningococcal and Influenza Vaccines (CPT Codes 90620, 90621 and 90630)
Aug 01, 20161194Urgent Announcement for Provider Type 17 Specialty 181 (FQHC): Three Prospective Payment System Encounters/Visits Per Patient Per Day
Jul 28, 20161193Attention Provider Type 20: Update Regarding Pediatric Surgery Enhancement Rates
Jul 27, 20161192Claims for CPT Code 95811 No Longer Denying Inappropriately for Edit Code 1192
Jul 22, 20161191Reminder for Providers Who Have Received a Notice to Revalidate by August 31, 2016
Jul 22, 20161190Attention Provider Types 30 and 83: Personal Care Services (PCS) Recipients Required to Select a Single PCS or Intermediary Service Organization (ISO) Provider
Jul 20, 2016Volume 13, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2016 Provider Newsletter)
Jul 19, 20161189Payerpath Claim Submission Training for August 2016
Jul 14, 20161188Attention Provider Type 25: Targeted Training Scheduled for Optometry Providers
Jul 14, 20161187Attention Provider Type 85: Retroactive Prior Authorization Requests for Applied Behavior Analysis (ABA) Services
Jul 14, 20161186ICD-10 Reminders for Dental Providers Billing on the ADA Claim Form
Jul 12, 20161185Urgent Notice for Providers Using Change Healthcare Clearinghouse to Submit Professional and Institutional Claims
Jul 08, 20161184Update for Provider Types 24 and 77: Radiology Claims to be Reprocessed
Jul 08, 201611832016 Nevada Medicaid Provider Survey Results
Jul 07, 20161182Attention Provider Types 12, 17 (specialties 166, 174, 179, 182, 195, 196), 20, 24, 47, 52, 77 and 79: CPT Code 99420 Billable Separately
Jul 01, 20161181Health Management Systems, Inc. (HMS) will Provide Nevada Medicaid TPL Services Effective July 1, 2016
Jul 01, 20161180Attention Provider Type 32 (Ambulance, Air or Ground): Community Paramedicine Services Update
Jun 30, 20161179Update Regarding Outpatient Claims That May Have Paid Twice
Jun 30, 20161178Attention Provider Type 19: Nursing Facility Level of Care Determination May Be Time-Limited
Jun 29, 20161177Institutional Medicare Crossover Claims that Overpaid will be Reprocessed
Jun 29, 20161176Attention Provider Types 19, 56, 63 and 68: Claims for Revenue Code 0183
Jun 28, 20161175Attention Provider Type (PT) 11: All-Inclusive Facility Rate Established for Organ Transplant Procedures and Procurement
Jun 27, 20161174Attention Provider Types 30 and 83: Tips Regarding Reassessment Requests and Contact Information
Jun 24, 20161173Medicaid Services Manual Chapters Updated
Jun 24, 20161172Payerpath Claim Submission Training for July 2016
Jun 23, 20161171Attention Provider Type 33: Claims for Equipment Rental or Purchase When Cumulative Rental Payments Reach or Exceed Purchase Price
Jun 22, 20161170Attention Provider Type 22 Specialty 079: Claims for Codes D0330, D0340, D0350 and D0470
Jun 21, 20161169Attention Provider Types 10, 20, 24, 46, 72 and 77: Prior Authorization Required for CPT Code 65756 and HCPCS Code V2785
Jun 21, 20161168Third Quarter 2016 Provider Training Workshops
Jun 17, 20161167Attention Provider Type 54: Explanation of Benefits from Other Health Care Provider Not Required
Jun 17, 20161166Urgent: Payment Delay for Certain Claims
Jun 16, 20161165Medical Transportation Management (MTM) Will Be Nevada''s Non-Emergency Transportation Vendor Effective July 1, 2016
Jun 16, 20161164Hospital Presumptive Eligibility Annual Training 2016 Calendar Dates and Sign-up Guidelines
Jun 08, 20161163Attention Provider Type 76: Procedure Codes 92537 and 92538 May Be Billed
Jun 08, 20161162Medicaid Operations Manual and Medicaid Services Manual Updated
Jun 07, 20161161Behavioral Health Provider Type 14: Reminders Regarding Day Treatment Services
Jun 03, 20161160Urgent: Drug Testing Codes Available for Billing
Jun 03, 20161159Drug Quantity Limits Effective May 16, 2016
Jun 02, 20161158Attention Provider Types 17 (Specialty 182), 47, 51, 52, 78 and 79: Indian Health Program Rates Adjusted for Calendar Year 2016
Jun 02, 20161157Attention Provider Type 43: Procedure Code 81519 May Be Billed
Jun 02, 20161156Urgent: Payment Delay for Certain Claims
Jun 02, 20161155Claims for Non-Covered Procedures that Paid to be Automatically Reprocessed
May 31, 20161154Attention Provider Types 30 and 83: Changes to Authorization Notices Effective June 1, 2016
May 27, 20161153Clinical Claim Editor Updated with NCCI Quarter 2 2016 Files
May 27, 20161152Attention Provider Type 22: American Dental Association (ADA) Dental Codes D9223 and D9243 Do Not Require Prior Authorization
May 26, 20161151Urgent: Payment Delay for Certain Claims
May 26, 20161150Payerpath Claim Submission Training for June 2016
May 20, 20161149New Prior Authorization Forms Available for Psychotropic Agents
May 20, 20161148Issue Corrected Regarding Outpatient Claims That May Have Paid Twice
May 19, 20161147Attention All Nevada Medicaid Providers that Request Level of Care and Pre Admission Screening and Resident Review
May 18, 20161146Attention Provider Types 38, 39, 48, 55, 57, 58 and 59: Explanation of Benefits from Other Health Care Provider Not Required
May 17, 20161145Medicaid Services Manual Chapters Updated
May 16, 20161144Attention Provider Types 30 and 83: Changes to Authorization Request for Personal Care Services (PCS) Form FA-24 Effective June 1, 2016
May 16, 20161143American Dental Association (ADA) Dental Codes D0330, D2920 and D5899 Updated in MMIS
May 13, 20161142Attention Provider Type 38: Notification Regarding Claims Denied with Edit Codes 0883 and 0884
May 09, 20161141Attention Nursing Facility and ICF/IID Provider Types 19 and 68: Tracking Process Is Changing on July 1, 2016
May 05, 20161140Attention Provider Types 64 and 65: New Hospice Forms Must Be Completely Filled In; Signature Required
May 04, 20161139Nevada Medicaid Will Use Federal Upper Limit Pricing Provided by Centers for Medicare & Medicaid Services for Outpatient Drugs
May 04, 20161138Update for Provider Type 75: Psychiatric/Substance Abuse Services Claims Reprocessing Not Necessary
May 03, 20161137Attention Hospice Provider Types 64 and 65: Notice of Public Workshop
May 02, 20161136URGENT: Coverage, Limitations and Prior Authorization Requirements for the Nevada Medicaid and Nevada Check Up Dental Program Document Is Temporarily Unavailable (Updated May 16, 2016)
May 02, 20161135Update for Provider Type 85: ABA Services Claims Reprocessed
May 02, 20161134Behavioral Health Community Network (BHCN) Quality Assurance (QA) Program Begins May 1, 2016
Apr 29, 20161133Attention Provider Type 47: Indian Health Program Crossover Encounter Claims
Apr 29, 20161132Attention Provider Types 12, 17 (specialties 166, 174, 179, 195, 196 and 198), 20, 24, 28, 60, 74 and 77: Gardasil® 9 HPV vaccine (CPT code 90651) Announcement
Apr 27, 20161131Outpatient Claims Affected by Edit Code 0210
Apr 26, 20161130Attention Provider Type 20: Pediatric Surgery Enhancement Rates Implemented
Apr 21, 20161129Attention Provider Type 85: ABA Services Claims Will No Longer Deny; Claims Will Be Reprocessed
Apr 21, 20161128Nevada Medicaid Community Paramedicine Provider Training and Enrollment Session
Apr 21, 20161127Payerpath Claim Submission Training for May 2016
Apr 20, 20161126Update for Provider Type 85: Telehealth Services Claims Will No Longer Deny
Apr 20, 20161125Provider Documentation Reminders
Apr 20, 20161124Attention Provider Type 38: Procedure Codes and Modifiers Updated
Apr 18, 20161123Online Provider Enrollment Summary Page Updated
Apr 14, 2016Volume 13, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2016 Provider Newsletter)
Apr 14, 20161122Providers Invited to Complete Health Information Exchange Small Business Impact Questionnaire by April 22, 2016
Apr 14, 20161121Attention Provider Type 12: Claims for CPT Codes with Age Restrictions Will Be Enforced
Apr 13, 20161120Attention Provider Types 24 and 77: Radiology Codes Billable Effective January 1, 2016
Apr 13, 20161119Attention Provider Type 75: Rates for Psychiatric/Substance Abuse Services Updated
Apr 11, 20161118EDI Medicare Crossover Claims Notification
Apr 08, 20161117Claims for ICD-10 "Z" Codes and "O09" Codes Billed as the Primary/Principal/First-Listed Diagnosis That Denied Inappropriately Will Be Reprocessed (Updated April 14, 2016)
Apr 08, 20161116Medicaid Services Manual Chapters 400, 600 and 1900 Updated
Apr 07, 20161115Attention Provider Types 23 and 76: Procedure Codes Updated in MMIS
Apr 06, 20161114Attention Provider Types 30 and 83: Service Plans Will No Longer Be Faxed to Providers
Apr 04, 20161113Update for Provider Type 29: Skilled Nursing Services Codes G0299 and G0300 Will No Longer Deny
Apr 01, 20161112Update Regarding Psychotropic Medications for Children and Adolescents
Mar 31, 20161111Attention Provider Type 33: Register Now for Targeted Training for DMEPOS Providers
Mar 31, 20161110Attention Medicaid Recipients and Caregivers: List of DME Providers for Ostomy, Colostomy and Catheter Products
Mar 30, 20161109Claims for American Dental Association (ADA) Dental Codes that Denied Inappropriately with a Limitation Edit Will Be Reprocessed
Mar 30, 20161108Attention Provider Types 12 and 81: Hospital Based ESRD Providers Billing CPT code 90688
Mar 28, 20161107Attention Provider Type 22 Dental and Orthodontia Providers: Courtesy Requests for Additional Information Will No Longer Be Faxed
Mar 28, 20161106Attention Provider Type 85: Applied Behavior Analysis Forms FA-11E and FA-11F Updated
Mar 28, 20161105Attention Provider Type 33: Include Manufacturer''s Invoice with Certain Claims (Updated April 18, 2016)
Mar 25, 20161104Attention Provider Type 39: Prior Authorization Reminders for Adult Day Health Care Services
Mar 25, 20161103Payerpath Claim Submission Training for April 2016
Mar 24, 20161102Claims for Drug Abuse Testing to be Reprocessed
Mar 24, 20161101Provider Revalidation Days Scheduled in Reno and Las Vegas
Mar 22, 20161100Attention Provider Types 14, 20, 24, 25, 33 and 77: Issue Regarding Incorrectly Denied Claims for Edit Code 0210 Has Been Resolved
Mar 21, 20161099Attention Provider Type 33: Prior Authorization Requirement Will Be Updated for Some DMEPOS Procedure Codes
Mar 21, 20161098Medicare Crossover Electronic Claim Adjustments/Voids
Mar 21, 20161097Attention Provider Type 33: HCPCS Code A4606 Restored for DMEPOS Providers
Mar 18, 20161096Attention Provider Types 20, 24 and 77: Limitation Implemented for HCPCS Code A4606
Mar 18, 20161095Attention Provider Type 39: Issue Regarding Claims for HCPCS Code S5102 Has Been Resolved
Mar 18, 20161094Attention Provider Type 33: Update Regarding Claims for DMEPOS Services Denied with Limitation Edits
Mar 17, 20161093New 2016 CPT, HCPCS and ADA Codes
Mar 15, 20161092Second Quarter 2016 Provider Training Workshops
Mar 08, 20161091Update for All Providers: Recipients Are Receiving Form 1095-B Regarding Medicaid Coverage (Updated March 22, 2016)
Mar 02, 20161090EDI Claims Denied with Edit Code 0444 Will Be Reprocessed
Mar 02, 20161089Additional Procedure Codes Billable by Provider Type 17 Specialty 179 School Based Health Centers
Mar 01, 20161088MSM Chapter 3600 - Managed Care Organization Updated
Mar 01, 20161087Reminder to Pharmacy Providers: Document Counseling when Dispensing a Medication
Feb 29, 20161086Modality Code 97022 Not Reimbursable to Provider Types 27 and 72
Feb 26, 20161085Hospital Presumptive Eligibility Annual Training 2016 Calendar Dates and Sign-up Guidelines (Updated April 7, 2016)
Feb 24, 20161084Provider Type 20 Specialties 170 and 63 Can Use Treatment History Search Feature
Feb 23, 20161083Electronic 837I Inpatient Claims with ICD-10 Codes Are Processing Appropriately
Feb 23, 20161082Attention Provider Types 64 and 65: Use Nevada Medicaid Hospice Forms
Feb 19, 20161081Online Provider Enrollment Reminders and Helpful Tips
Feb 18, 20161080Attention Provider Type 83: Reminders Regarding ISO Self-Directed PCS Forms
Feb 18, 20161079Payerpath Claim Submission Training for March 2016
Feb 17, 20161078Urgent Update for Provider Type 85 Regarding Denials of Telehealth Services Claims
Feb 12, 20161077Narcan Nasal Spray Added to Preferred Drug List
Feb 11, 20161076Clinical Claim Editor Updated with NCCI Quarter 1 2016 Files
Feb 09, 20161075Attention All Providers: Recipients Will Receive Form 1095-B Regarding Medicaid Coverage (Updated February 26, 2016)
Feb 09, 20161074Reminders for Provider Type 63 (RTC) Regarding Prior Authorization Requests for Concurrent Reviews
Feb 08, 20161073Provider Revalidation Requirement Extension (Updated March 3, 2016)
Feb 08, 20161072Provider Type 60 (School Based) Claims for Procedure Code 92523 with Modifier 52
Feb 05, 20161071Attention Provider Type 33 (Durable Medical Equipment): Data Correction Instructions Related to DME Ventilator Code Changes Effective January 1, 2016
Feb 05, 20161070Nevada Medicaid Website Maintenance Downtime
Feb 03, 20161069Attention Provider Types 10, 29, 45, 46 and 81: Search Fee Schedule Updated on the Provider Web Portal
Feb 01, 20161068ICD-10 "Z" Codes and "O09" Codes Billed as the Primary/Principal/First-Listed Diagnosis Will No Longer Deny Effective February 15, 2016
Feb 01, 20161067New File Type Requirements When Uploading Forms Online
Jan 29, 20161066Provider Web Portal Enhancement: Treatment History Search for DME, Vision, Audiology and Dental Provider Types
Jan 29, 20161065ICD-10 Diagnosis Code O80 Added to "ICD-10-CM Emergency Diagnosis Codes for Non-U.S. Citizens with Emergency Medical Only Coverage" List
Jan 28, 20161064Urgent Announcement for Provider Types 85 and 20 Providing Applied Behavior Analysis Services
Jan 28, 20161063Urgent Announcement for Provider Type 33: DME Ventilator Code Changes Effective January 1, 2016
Jan 25, 201610622016 Nevada Medicaid Provider Survey
Jan 25, 20161061Attention Provider Type 29: Data Correction Instructions Related to Skilled Nursing Code Changes Effective January 1, 2016
Jan 22, 20161060CMS-1500 and Transaction 837P Claims Denied with Edit Code 0367 will be Reprocessed
Jan 22, 20161059Urgent Announcement for Provider Type 29: Skilled Nursing Services Code Changes Effective January 1, 2016
Jan 21, 20161058Payerpath Claim Submission Training for February 2016
Jan 20, 20161057Attention Provider Type 47: Claims for Encounter Code T1015
Jan 20, 20161056Stakeholder Meeting for Community Certified Behavioral Health Clinics (CCBHC) on January 26, 2016
Jan 20, 20161055Adjustments/Voids Can Be Made Using ADA Claim Form
Jan 19, 20161054Attention Provider Types 47 and 17 Specialty 182: Encounters Limitation Increased to Five per Day; PT 47 Claims will be Reprocessed
Jan 19, 20161053Attention Provider Type 29: Claims Denied for Referring NPI Not on File will be Reprocessed
Jan 18, 20161052Reminder: New Form for Durable Medical Equipment Wheelchair Repairs Must Be Used Effective January 1, 2016
Jan 18, 2016Volume 12, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2015 Provider Newsletter)
Jan 15, 20161051Service Limitations for Basic Skills Training (BST) Services
Jan 15, 20161050Attention Provider Types 11 and 75: Claim Denials for Absence of Sterilization Consent Form (Updated February 5, 2016)
Jan 15, 20161049Attention Provider Types 20, 24 and 77: Correct Rates Restored for CPT Codes 36478 and 36479
Jan 14, 20161048Attention Provider Type 85: Applied Behavior Analysis (ABA) Providers May Bill Telehealth Services
Jan 12, 20161047Place of Service Codes Updated Pursuant to CMS Change Request
Jan 12, 20161046Changes Will Allow ICD-10 "Z" Codes and "O09" Codes to Be Billed as the Primary/Principal/First-Listed Diagnosis
Jan 06, 20161045First Quarter 2016 Provider Training Workshops
Jan 05, 20161044Applied Behavior Analysis (ABA) Services Coverage Implemented January 1, 2016
Dec 24, 20151043Attention Provider Types 45 and 81: CPT Codes 90999 and 90945 Updated to 2016 CMS Base Rates
Dec 21, 20151042Claim Adjustment Reason Code for Presumptive Payment Adjustment on 837 Electronic Transactions
Dec 18, 20151041Attention Provider Type 82 Specialties 300 and 301: HCPCS Code H2012
Dec 18, 20151040Attention Provider Type 14 Specialties 300, 305, 306 and 307: CPT Code 90876 Prior Authorization Requirement Updated
Dec 18, 20151039Quantity Limits for Sedative/Hypnotic Agents (Updated January 22, 2016)
Dec 17, 20151038Payerpath Claim Submission Training for January 2016
Dec 15, 20151037Psychotropic Medications for Children and Adolescents
Dec 14, 20151036Attention Provider Types 24 and 77: CPT Code 88720 May Be Billed Effective January 1, 2016
Dec 11, 20151035HCPCS Codes for Drug Abuse Testing
Dec 11, 20151034Attention Provider Types 20, 24 and 77: Claims for CPT Codes that did not Adjudicate Using New Methodology Are Being Reprocessed (Updated December 24, 2015)
Dec 11, 20151033Provider Type 38 Fee Schedule Updated
Dec 10, 20151032Attention Provider Type 55: Use HCPCS Codes Effective December 1, 2015
Dec 10, 20151031Attention Provider Type 12: HCPCS Code Q9973 Payable with National Drug Code
Dec 10, 20151030Attention Provider Types 20 and 22: ADA Dental Code D1353 Updated for Reimbursement
Dec 09, 20151029Clinical Claim Editor Updated with NCCI Quarter 4 Files
Dec 08, 20151028Enhancement to Provider Web Portal Regarding Prior Authorization Attachments
Dec 07, 20151027Attention Provider Types 30 and 83: Authorization Request for Personal Care Services (PCS) Form FA-24 Updated
Dec 01, 20151026Telehealth Policy Update
Dec 01, 20151025PASRR Provider Training
Dec 01, 20151024New Applied Behavior Analysis Authorization Type Added to Provider Web Portal Prior Authorization
Dec 01, 20151023Prior Authorization Forms Available for Applied Behavior Analysis (ABA) Services
Dec 01, 20151022Nevada Medicaid Provider Enrollment Portal Is Online Now
Dec 01, 20151021Attention Provider Types 20, 24, 25 and 77: CPT Code 99174 May Be Billed Effective January 1, 2016
Nov 30, 20151020Attention Provider Type 17 Specialty 174: CPT Code 58110 May Be Billed
Nov 25, 20151019Changes for Durable Medical Equipment Wheelchair Repairs
Nov 25, 20151018Attention Provider Types 11 and 46: Prior Authorization and Billing Requirements for Cornea Procurement; Maximum All-Inclusive Procurement Rate Established
Nov 23, 20151017Notice for Provider Type 63: Residential Treatment Center (RTC) AKA Psychiatric Residential Treatment Facility (PRTF) Regarding Discharge Medications
Nov 20, 20151016Remittance Advice Issue Corrected
Nov 20, 20151015Payerpath Claim Submission Training for December 2015
Nov 19, 20151014Attention Provider Types 12, 20, 24, 33 and 77: Rates Established for Codes with Zero Rates
Nov 19, 20151013Enhancements to Provider Web Portal Prior Authorizations
Nov 18, 20151012Urgent Pharmacy Announcement: Pricing Override Allowing Brand Products to Pay at Brand Price
Nov 18, 20151011Services for Children with Autism Spectrum Disorder Update
Nov 16, 20151010Applied Behavior Analysis (ABA) Provider Training Sessions
Nov 16, 20151009Attention Provider Types 45 and 81: Form FA-100 Must Be Attached to Initial Claim for Outpatient Emergency Dialysis Services for all New Federal Emergency Services (FES) Recipients (Updated December 16, 2015)
Nov 09, 20151008Attention ALL Hospital Presumptive Eligibility Providers: Guidance Policy Available
Nov 04, 20151007Provider Type 64 (Hospice) Annual Rate Adjustment for Federal Fiscal Year 2016
Nov 02, 20151006Hospital Presumptive Eligibility Annual Training 2016 Calendar Dates and Sign-up Guidelines (Updated December 8, 2015)
Oct 27, 20151005Application of Modality Codes Reimbursable to Provider Types 20, 24 and 77 (Updated Feb. 29, 2016)
Oct 27, 20151004ICD-10 Diagnosis Code Reference for Drug Claims
Oct 26, 20151003Attention All Providers: Claims for "Z" Codes that Denied Have Been Reprocessed
Oct 22, 20151002EVS and ARS Updated to Provide Appropriate Patient Liability
Oct 21, 20151001Payerpath Claim Submission Training for November 2015
Oct 19, 2015Volume 12, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2015 Provider Newsletter)
Oct 19, 20151000Attention Provider Type 32: Ambulance Claims that Denied for Edit Code 0041 will be Reprocessed
Oct 19, 2015999Attention Provider Types 30, 38, 39, 48, 55, 57, 58, 59 and 83: Claims Must Include ICD-10 Diagnosis Code per 5010 Regulations
Oct 15, 2015998Coming Soon: Nevada Medicaid Online Provider Enrollment (Updated October 28, 2015)
Oct 12, 2015997Open Provider Forums Scheduled Regarding: Pharmacy Dispensing Fee Increase and Pricing Methodology Using National Average Drug Acquisition Cost (NADAC) Files
Oct 12, 2015996System Updated to Ensure Only Appropriate Codes can be Billed per Provider Type/Specialty
Oct 09, 2015995Attention Provider Types 11, 51, 52, 64, 78 and 79: Inpatient Claims that Overpaid will be Automatically Reprocessed
Oct 08, 2015994Outpatient Claims that Denied with Edit Code 0303
Oct 07, 2015993Annual Rate Adjustment for Rural Health Clinics (RHC) Provider Type 17 Specialty 180
Oct 07, 2015992Future Changes to MSM Chapter 1200, Prescribed Drugs
Oct 02, 2015991Provider Type 11 Rate Increase
Oct 01, 2015990Attention Behavioral Health Provider Types 14, 17, 26, 63 and 82: The Prior Authorization Forms Revised for ICD-10 Codes Must Be Used
Sep 29, 2015989Attention Provider Types 11, 13, 19, 44, 56, 63 and 75: Billing and Prior Authorization Instructions for Claims that Span from a Previous Month through October 2015
Sep 29, 2015988Special Batch Requests for Inpatient Newborn Claims that Denied because Eligibility Changed from Managed Care Organization to Fee-for-Service after Date of Birth
Sep 29, 2015987ICD-10 Implementation is in Two Days on October 1, 2015
Sep 28, 2015986Attention Provider Type 83: Use New, All-Inclusive Form FA-24C to Request Authorization for Self-Directed Skilled Services
Sep 28, 2015985Payerpath Claim Submission Training for October 2015
Sep 25, 2015984"One Medicaid for a Healthier Nevada" Annual Medicaid Conference
Sep 23, 2015983Human Papillomavirus (HPV) Laboratory Testing Codes 87623, 87624 and 87625
Sep 23, 2015982Pharmacy Dispensing Fee Increase and Pricing Methodology Using National Average Drug Acquisition Cost (NADAC) Files
Sep 22, 2015981ICD-10 Implementation is Next Week on October 1, 2015
Sep 17, 2015980Attention Provider Types 20, 24 and 77: Claims for CPT Codes that did not Adjudicate Using New Methodology
Sep 16, 2015979Attention Provider Type 33 Regarding HCPCS Code A4221
Sep 16, 2015978Routine Circumcision CPT Codes 54150, 54160 and 54161 Do Not Require Prior Authorization for Infant Males
Sep 15, 2015977ICD-10 Implementation is in Two Weeks - October 1, 2015
Sep 14, 2015976Tips for Submitting Prior Authorizations and Claims Using ICD-9 or ICD-10 Diagnosis Codes (Updated September 29, 2015)
Sep 14, 2015975Primary Care Physician (PCP) Rate Increase Program: Claims for Dates of Service Through June 30, 2015
Sep 14, 2015974Attention Provider Types 14 and 82: Rehabilitation Plan and Progress Notes for Rehabilitative Mental Health Services
Sep 11, 2015973Attention Behavioral Health Provider Types 14, 17, 63 and 82: Prior Authorization Forms Being Revised to Use ICD-10 Codes
Sep 11, 2015972Register Now for "One Medicaid for a Healthier Nevada" Annual Medicaid Conference
Sep 04, 2015971Attention Provider Type 12: Update Regarding Claims for Radiation Treatment Services
Sep 04, 2015970Enhancements to Search Fee Schedule Messages on the Provider Web Portal
Sep 03, 2015969Providers May Enroll as Licensed Birth Centers (Provider Type 17 Specialty 169)
Sep 01, 2015968Uses for the "ICD-9-CM Emergency Diagnosis Codes for Non-U.S. Citizens with Emergency Medical Only Coverage" List
Sep 01, 2015967It''s 1 month until ICD-10 Codes Must Be Used on Claims with Dates of Service on or after October 1, 2015. Have You Tested to Ensure Claims will be Accepted and Processed?
Aug 25, 2015966Attention Provider Types 12, 17 (Specialty 180), 20, 33, 34 and 44: Durable Medical Equipment Codes Updated in MMIS to Facilitate Rental and Purchase Reimbursement
Aug 24, 2015965Save the Date: 2015 Annual Medicaid Conference Scheduled for October
Aug 24, 2015964Rate Methodology Updates for CPT Codes Billed by Provider Types 20, 24 and 77
Aug 24, 2015963Enhancement to Provider Web Portal Improves Prior Authorization Tracking Number Response Time
Aug 20, 2015962Clinical Claim Editor Updated with NCCI Quarter 3 Files
Aug 20, 2015961Claims with Modifier 57 that Denied Incorrectly will be Reprocessed
Aug 19, 2015960Payerpath Claim Submission Training for September 2015
Aug 18, 2015959Pharmacy Dispensing Fee Increase and Pricing Methodology Using National Average Acquisition Cost (NADAC) Files
Aug 14, 2015958Procedure Clarification for Targeted Case Management (TCM)
Aug 12, 2015957Reminder: Password Requirements for the Provider Web Portal
Aug 10, 2015956Indian Health Services Rates Adjusted for Calendar Year 2015
Aug 05, 2015955New Modifiers XE, XP, XS and XU Implemented Effective January 1, 2015
Aug 04, 2015954Attention Provider Types 38, 48 and 58: Change in Home and Community Based Services Program Acronyms
Aug 03, 2015953Provider Types 14 and 82: Billing Instructions for Span Dating of Rehabilitative Mental Health (RMH) Services
Jul 30, 2015952Non-Dental Provider Claims for Application of Fluoride Varnish
Jul 29, 2015951Provider Type 85 Applied Behavior Analysis (ABA) Group Enrollment Checklist Is Online
Jul 27, 2015950Attention Nursing Facilities: Level of Care (LOC) Assessment for Specialty Care Recipients
Jul 24, 2015949Save the Date: PASRR Workshop Scheduled for August 18, 2015
Jul 24, 2015948It''s 10 Weeks until the ICD-10 Implementation on 10/01/15. Are You Ready?
Jul 22, 2015947Provider Type 22 Specialty 079 (Orthodontia) Can Bill Codes D0330, D0350 and D0470
Jul 22, 2015946Provider Type 22: Service Limitations for CDT Codes D0350, D0460, D9110 and D9930
Jul 20, 2015945Payerpath Claim Submission Training for August 2015
Jul 17, 2015944Paper Claims with Zero Payment from Primary Do Not Require Special Batch
Jul 16, 2015943Notice for Provider Type 63: Residential Treatment Center (RTC) AKA Psychiatric Residential Treatment Facility (PRTF) Regarding Critical Event Reporting (Updated February 27, 2017)
Jul 13, 2015942Attention Provider Type 58 Providers and Waiver for Persons with Physical Disabilities (PD) Recipients: Change in Operational Agency
Jul 10, 2015941Third Quarter 2015 Provider Workshops
Jul 10, 2015Volume 12, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2015 Provider Newsletter) (Updated September 15, 2015)
Jul 10, 2015940Provider Type 85 Applied Behavior Analysis (ABA) Enrollment
Jul 06, 2015939Provider Type 22: Claims for CDT Code D0150
Jul 06, 2015938Nevada Medicaid Forms Can Now Be Submitted Using the Provider Web Portal
Jul 01, 2015937Attention Personal Care Services (PCS) Provider Types 30 and 83: Updates Regarding Faxing Requests and Using the Provider Web Portal
Jul 01, 2015936ICD-10 Testing Encouraged before Implementation Date
Jun 23, 2015935Urgent: Payment Delay for Certain Claims
Jun 18, 2015934Automated, Online Provider Enrollment/Revalidation to be Implemented in 2015
Jun 18, 2015933Payerpath Claim Submission Training for July 2015
Jun 17, 2015932Attention Provider Type 33: Policy Refresher on Durable Medical Equipment Rent-to-Purchase Option
Jun 16, 2015931Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines (Updated September 10, 2015)
Jun 12, 2015930Coming Soon: Secure Submission of Forms Using the Provider Web Portal
Jun 12, 2015929Attention Provider Types 10 and 46: Update Regarding the All-Inclusive Reimbursement for BAHA, Cochlear, VNS, and Baclofen Pump (Updated December 19, 2016)
Jun 11, 2015928ICD-10 Testing and Facts Information
Jun 10, 2015927June Provider Training Sessions Scheduled in Elko and Onsite Visits in Elko and Winnemucca
Jun 05, 2015926Provider Type 33 Claims that Denied for Edit Code 0325
Jun 03, 2015925Providers Invited to Complete Second Quarter 2015 Nevada Medicaid Provider Training Survey
May 28, 2015924New Form FA-1C Must Be Used for Oxygen Equipment and Supplies Prior Authorization Requests Effective July 1, 2015
May 27, 2015923New Encounter Visit Procedure Codes for Provider Type 17 Specialty 181 (FQHC)
May 26, 2015922Provider Type 38: Submit Claims for Waiver Services Electronically
May 22, 2015921Upcoming Updates to Nevada Provider Enrollment
May 21, 2015920Vaccine Billing Clarification (Updated August 14, 2015)
May 20, 2015919Security Settings and Password Requirements Enhanced in the Provider Web Portal
May 19, 2015918Payerpath Claim Submission Training for June 2015
May 18, 2015917Attention Provider Types 14 and 26: Prior Authorization Requirements for CPT Codes 96150 and 96151
May 15, 2015916Attention Applied Behavior Analysis Providers: Training Sessions Scheduled for Providers Interested in Enrolling as a Nevada Medicaid ABA Provider
May 14, 2015915Attention Provider Types 20, 25 and 41 Regarding HCPCS Code V2744 (Tint Photo Chromatic Lens/es)
May 01, 2015914Services for Children with Autism Spectrum Disorder
Apr 30, 2015913Upcoming Benefit for Providers: Online Submission of Nevada Medicaid Forms
Apr 23, 2015912Attention Provider Type 32 Regarding Modifiers for Ambulance Claims
Apr 23, 2015911Payerpath Claim Submission Training for May 2015
Apr 20, 2015910Provider Types Prohibited from Billing National Drug Codes will Receive Claim Denials
Apr 17, 2015Volume 12, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2015 Provider Newsletter)
Apr 13, 2015909Provider Web Portal: Search Fee Schedule Error Message Based on Provider Type
Apr 09, 2015908Second Quarter 2015 Provider Workshops
Apr 08, 2015907Claims for Lexiscan® to be Reprocessed
Apr 03, 2015906Physician-Administered Drug Claims Reprocessed
Apr 01, 2015905"Search Providers" Feature Added to Provider Web Portal
Mar 30, 2015904Updates for Provider Type 14 Regarding Prior Authorizations for HCPCS Code H2012 (Day Treatment)
Mar 30, 2015903PASRR Users: Reminder about Deactivating Delegates on the Provider Web Portal and PASRR System
Mar 27, 2015902Update Regarding 2015 New CPT, HCPCS and ADA Codes
Mar 27, 2015901Attention Inpatient Provider Types 11 and 75: Cesarean Section and Vaginal Delivery Procedures Cannot Be Billed on the Same Claim
Mar 24, 2015900Pharmacy Claims Payments to be Delayed One Week
Mar 24, 2015899Attention Provider Type 12: Reimbursement for ESRD Services Changing to a Bundled Prospective Payment Rate under New Provider Type 81
Mar 20, 2015898Primary Care Physician (PCP) Rate Increase Program Extended through June 30, 2015
Mar 20, 2015897Prior Authorizations and Billing for Day Treatment Services (H2012) Effective April 1, 2015
Mar 20, 2015896Payerpath Claim Submission Training for April 2015
Mar 18, 2015895Update for Inpatient Hospital Provider Types 11 and 13: Temporary Concurrent Review Prior Authorization Process Discontinued Effective April 1, 2015
Mar 18, 2015894A Reason Code/Message will Appear on Remittance Advices when Claims are Cutback
Mar 18, 2015893New Prior Authorization Form to be Required for Oxygen Equipment and Supplies
Mar 13, 2015892EPSDT Screenings for All Children Include Autism Spectrum Disorder
Mar 13, 2015891Changes for Pharmacies and Prescribers of Psychotropic Medications for Children and Adolescents Have Been Removed from the Prior Authorization Form (Updated May 1, 2015)
Mar 10, 2015890Electronically Submitted Dental Claims that Overpaid, Underpaid or Denied Inappropriately have been Reprocessed
Mar 06, 2015889Providers Invited to Complete Nevada Medicaid Provider Training Survey
Mar 04, 2015888Attention Elko Area Providers: Training Sessions Scheduled March 12-13, 2015, for Currently Enrolled Providers and Providers Who Are Considering Enrolling
Mar 04, 2015887Provider Web Portal Search Fee Schedule Update
Feb 27, 2015886Provider Web Portal Pharmacy PA Link Access Revised
Feb 23, 2015885Claim Denials for Edit Code 0367 (Bill Medicare)
Feb 23, 2015884Payerpath Claim Submission Training for March 2015
Feb 20, 2015883Payment Error Rate Measurement (PERM) Review in Progress
Feb 11, 2015882Update Regarding 2015 New CPT, HCPCS and ADA Codes
Feb 10, 2015881CAQH CORE 350: Health Care Claim Payment/Advice (835) Infrastructure Rule
Feb 10, 2015880Balance Due Amount Alteration Resolved
Feb 09, 2015879Attention All Providers: Qualified Hospitals Are Required to Provide Presumptive Eligibility Notice of Decision (NOD) to Recipients
Feb 06, 2015878Attention Pharmacies: New Billing Instructions for Vaccine Claims when Submitted with a Non-participating Prescriber Due to Ordering, Prescribing and Referring (OPR) Practitioner Validation
Feb 05, 2015877Reminder for Provider Type 83: Use Modifier "TF" when Billing Code T1019 for Self-Directed Skilled Services
Feb 05, 2015876Attention Behavioral Health Provider Types 14 and 82: Notice Regarding Claims Denied for Edit Code 0162 or Cut Back for Edit Code 0639
Feb 03, 2015875Provider Web Portal Pharmacy PA Link Access Updated
Feb 03, 2015874Provider Types 14, 20, 24, 26, 77 and 82: Claims with Place of Service Code 51
Feb 02, 2015873Update for Provider Type 17 Specialty 215 Claims for HCPCS Code H0038
Feb 02, 2015872Ordering, Prescribing and Referring Providers Will Not Be Able to Receive Eligibility Benefit Information
Jan 30, 2015871Prior Authorization Forms FA-12, FA-13, FA-14 and FA-15 Updated
Jan 29, 2015870Payerpath Claim Submission Training for February 2015
Jan 28, 2015869Attention Provider Types 11 and 75: NICU Level of Care Prior Authorization and Billing Instructions (Updated February 2, 2015)
Jan 26, 2015868Enhancements for Online Prior Authorizations
Jan 26, 2015867Authorization Criteria Search Functions Enhanced on the Provider Web Portal
Jan 23, 2015866Attention Provider Type 39: Adult Day Health Care Prior Authorization Form and Form Instructions Updated
Jan 20, 2015Volume 11, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2014 Provider Newsletter)
Jan 15, 2015865Primary Care Physician (PCP) Rate Increase Program Update
Jan 15, 2015864First Quarter 2015 Provider Workshops
Jan 09, 2015863Learn How to Search Fee Schedules on the Web Portal through a Virtual Room Demonstration on January 15, 2015
Jan 09, 2015862Billing Instructions for Claims that Cover Services that Roll Over to the Next Calendar Year (Updated January 16, 2015 - Please disregard this announcement)
Jan 08, 2015860Medicare Crossover Claims May Deny by Medicaid if National Provider Identifier (NPI) of Ordering, Prescribing and Referring (OPR) Provider is not on the Claim (Updated December 11, 2017)
Jan 08, 2015861Implementation of Hospital Presumptive Eligibility Option for Acute Care Hospitals (Provider Types 11 and 75)(Updated January 14, 2015)
Jan 06, 2015859Provider Type 47 Claims for Encounter Code T1015
Dec 31, 2014858Urgent Reminder: Use Electronic Verification and Automated Response Systems to Quickly Verify Claim and Payment Status and Avoid Call Center Hold Times
Dec 31, 2014857Attention Provider Types 14, 26 and 82: Day Treatment Program
Dec 31, 2014856School Based Health Centers Specialty Opens for Provider Type 17
Dec 31, 2014855HP Enterprise Services Field Representatives Plan Provider Training for 2015
Dec 24, 2014854Provider Web Portal Update: Search Fee Schedule Available for Providers
Dec 24, 2014853Notice for Provider Types 11, 13 and 63 Regarding Claims that Cutback or Denied Due to Lack of PA Units and Overlapping Dates on the PA
Dec 24, 2014852Payerpath Claim Submission Training for January 2015
Dec 22, 2014851Physician-Administered Drug Claims that Denied with Edit Code 9051 (Prescriber is not Covered) in Error will be Reprocessed
Dec 22, 2014850URGENT: Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims
Dec 19, 2014849Applied Behavior Analysis (ABA) Services for Children with Autism Spectrum Disorder
Dec 18, 2014848DMEPOS Prior Authorizations in Emergency Situations or Expediting Movement to Lower Level of Care
Dec 17, 2014847Attention Provider Type 64 (Hospice): Update to Claims Affected by Federal Fiscal Year 2014 Rate Adjustment
Dec 10, 2014846Limitations Updated for Provider Type 33 DMEPOS Services
Dec 08, 2014845Provider Type 45 (ESRD): CPT Code 90945 Available for Peritoneal Dialysis
Dec 08, 2014844Annual Rate Adjustment for Federally Qualified Health Centers (FQHC) Provider Type 17 Specialty 181
Dec 08, 2014843Annual Rate Adjustment for Rural Health Clinics (RHC) Provider Type 17 Specialty 180
Dec 08, 2014842Opportunities for Nevada Providers and Hospitals through Electronic Health Records Incentive Program
Dec 01, 2014841DME and Vision History Request Form (FA-2) May Be Submitted Via Email
Nov 26, 2014840Lists of Ordering, Prescribing and Referring (OPR) Providers and Fully Enrolled Providers Available Online
Nov 25, 2014839Billing Reminder for PayerPath Users Submitting UB Claims
Nov 24, 2014838Provider Web Portal Update: Inpatient Prior Authorizations and Date of Discharge
Nov 24, 2014837Attention Provider Types 20, 24 and 77: Pediatric Enhancement-Surgical Services Claims with Modifier 51 Reprocessed
Nov 24, 2014836Attention Provider Types 14 and 82: Providers Must Inform Recipients of the Time-Limited Nature of Rehabilitative Mental Health and Basic Skills Training Services
Nov 24, 2014835Attention Provider Types 14 and 82: Rehabilitation Plan and Progress Notes for Rehabilitative Mental Health Services
Nov 21, 2014834Attention Provider Types 30 and 83: Provide Functional Assessment Service Plan (FASP) to Recipient
Nov 21, 2014833Prior Authorization Quick Tip Guides Available Online
Nov 20, 2014832Attention Provider Type 64 (Hospice): Failure to Report Quality Data to CMS Affects Annual Payment Update
Nov 20, 2014831PayerPath Claim Submission Training for December 2014
Nov 18, 2014830URGENT: Claim Form Field Instructions for Entering NPI of Ordering, Prescribing or Referring Provider
Nov 17, 2014829Medicaid Services Manual Updated
Nov 13, 2014828HCPCS Code E0147 Not Billable by Provider Type 17 (Specialty 180) and Provider Type 33
Oct 30, 2014827Quantity Limit for Oral Contraceptives
Oct 30, 2014826URGENT INFORMATION: Provider Types Required to Include NPI of Ordering, Prescribing and Referring (OPR) Provider on Claims: 16, 17, 19, 23, 27, 29, 33, 34, 37, 43, 45, 46, 55, 63, 64 and 68
Oct 29, 2014825Update for Pharmacies: Override Period for Point-of-Sale Processing for Claims Adjudication Process to Validate Ordering, Prescribing and Referring (OPR) Practitioners Ends February 5, 2015 (Updated December 9, 2014, and January 9, 2015)
Oct 28, 2014824National Drug Code (NDC) Training Scheduled in November for Providers Who Bill for Physician-Administered Drugs
Oct 23, 2014Volume 11, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2014 Provider Newsletter)
Oct 22, 2014823Attention All Inpatient Facilities: Prior Authorization Processes for Inmate Hospitalizations
Oct 21, 2014822Prior Authorization Requirement Updated for Dermatology Codes
Oct 21, 2014821PayerPath Claim Submission Training for November 2014
Oct 17, 2014820Provider Type 64 (Hospice) Annual Rate Adjustment for Federal Fiscal Year 2015
Oct 17, 2014819Attention Provider Type 64 (Hospice): Rates for Federal Fiscal Year 2014 Adjusted
Oct 17, 2014818Attention Provider Types 24 and 77: Notice Regarding Claims for Pediatric Enhancement-Surgical Codes
Oct 14, 2014817Skin Substitute Products Not Covered by Nevada Medicaid
Oct 13, 2014816Copaxone® 20 mg Billing Update
Oct 13, 2014815CPT Code 80055 (Obstetric Panel) Not Billable by Provider Type 21 (Podiatrist)
Oct 10, 2014814NPI of Ordering, Prescribing and Referring Provider Must be on Claims Effective October 15, 2014
Oct 06, 2014813Provider Type 11: Rate Increase for Psychiatric/Detoxification Revenue Codes
Oct 03, 2014812ALL PROVIDERS AND STAFF INVITED: Annual Medicaid Conference October 8 in Reno/Sparks and October 16 in Las Vegas
Sep 29, 2014811Hydrocodone Combination Products Change to DEA Schedule 2
Sep 29, 2014810ICD-10 Compliance Date Scheduled for October 1, 2015
Sep 26, 2014809Hospital Claims for HCPCS Code G0378 or Revenue Code 0762 or Outpatient CPT Codes that Denied Inappropriately will be Reprocessed
Sep 24, 2014808Claims for Cesarean Section Diagnosis or Procedure Codes
Sep 24, 2014807REMINDER: REGISTER NOW for the 2014 Annual Medicaid Conference
Sep 23, 2014806PayerPath Claim Submission Training for October 2014
Sep 15, 2014805New Speech Evaluation Codes Billable by Provider Type 60 (School Based); Denied Claims for the New Codes Reprocessed
Sep 12, 2014804Provider Type 14: Review Supervision Standards for Medical Supervision
Sep 11, 2014803Reminders for Checking Eligibility on the Provider Web Portal
Sep 10, 2014802Streamlined Claim Appeal Request Process Implemented
Sep 10, 2014801Save the Date: 2014 Annual Medicaid Conference Scheduled for October (Updated September 19, 2014)
Sep 05, 2014800Ordering, Prescribing and Referring Providers Not Allowed to Register for Access to Provider Web Portal
Aug 29, 2014799Attention Pharmacies: Update Regarding Implementation of Claims Adjudication Process to Validate Ordering, Prescribing and Referring (OPR) Practitioners
Aug 27, 2014798Speech Pathologists May Bill CPT Code 92520 Effective September 1, 2014
Aug 27, 2014797Urgent Announcement Regarding CMS-1500 (02-12) Paper Claims Submitted with Incorrect Diagnosis Pointers
Aug 26, 2014796Attention Provider Types 20 and 43: Pathology Claims Denied with Edit Code 0825
Aug 26, 2014795Medicaid Services Manual and Nevada Check Up Manual Updated
Aug 22, 2014794Attention Provider Type 39: Adult Day Health Care Billing Per Diem vs. Unit
Aug 21, 2014793Nursing Facility Tracking Form
Aug 21, 2014792PayerPath Claim Submission Training for September 2014
Aug 20, 2014791CPT Code 90644 (MenHibrix®) is FDA-Approved and is a Vaccines for Children (VFC) Vaccine
Aug 19, 2014790Attention Provider Types 20, 24 and 77: Pediatric Enhancement-Surgical Services Claims Reprocessed
Aug 14, 2014789Update on Outpatient Therapy Claims that Denied with Edit Code 0303: Medicare Crossover Claims Reprocessed
Aug 14, 2014788Health Care Guidance Program Indicator in EVS; Contact Information for Questions
Aug 14, 2014787Updating Inpatient Prior Authorizations in the Provider Web Portal
Aug 13, 2014786Provider Type 63 (Residential Treatment Center) Enrollment Checklist Requirements
Aug 12, 2014785Attention Advanced Practice Registered Nurses, Physician’s Assistants and Physician Groups
Aug 01, 2014784Physician/Outpatient-Facility Administered Drug Claims that Previously Denied Have Been Reprocessed
Aug 01, 2014783Provider Type 17 Specialty 215 (SAAM) Claims for Codes H0049, 99408 and 99409
Aug 01, 2014782Provider Type 43 May Bill for Hereditary Breast and/or Ovarian Cancer Genetic Testing
Jul 31, 2014781Tips for Requesting Prior Authorizations and Data Corrections
Jul 30, 2014780Attention Provider Types 14 and 82: Reminder Regarding Policy Change for Basic Skills Training
Jul 29, 2014779EVS Eligibility Responses for Health Care Guidance Program
Jul 28, 2014778Personal Care Services (Provider Types 30 and 83) Enrollment Checklist Requirements
Jul 28, 2014777Medicaid Services Manual Updated
Jul 25, 2014776PayerPath Claim Submission Training for August 2014(Updated August 26, 2014)
Jul 23, 2014775Verify Recipient Eligibility Before Submitting Prior Authorization
Jul 18, 2014774Ordering, Prescribing and Referring Provider Enrollment Requirement to be Implemented August 18, 2014
Jul 18, 2014773Attention Provider Types 30 and 83: Functional Assessment Service Plan Tool Updates Effective August 1, 2014
Jul 18, 2014Volume 11, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2014 Provider Newsletter)
Jul 16, 2014772Provider Types 10 and 46: Use HCPCS Code G0260 for Sacroiliac Joint Injection in ASC Setting
Jul 14, 2014771340B Drug Discount Program
Jul 10, 2014770PayerPath Claim Submission Training
Jul 09, 2014769Pediatric Enhancement-Surgical Services Claim Reprocessing Delayed
Jul 01, 2014768Attention Provider Type 39: Regarding Adult Day Health Care (ADHC) Authorization Notices
Jun 30, 2014767Medicaid Services Manual Updated
Jun 27, 2014766Clarification of Prior Authorization Turnaround Expectations
Jun 26, 2014765Reminder for Therapy (PT 34) and Hospital, Outpatient (PT 12) Providers Regarding Therapy Unit Limitations
Jun 26, 2014764Claims for 2014 New Codes that Denied Have Been Reprocessed
Jun 25, 2014763Qualified Mental Health Associate (QMHA Specialty 301) Provider Enrollment Qualifications
Jun 25, 2014762Flulaval Influenza Vaccine (CPT Code 90688)
Jun 25, 2014761July, August and September 2014 Provider Training
Jun 24, 2014760Provider Web Portal''s View Original Request Feature for Inpatient Prior Authorizations Updated
Jun 23, 2014759Attention Provider Types 30 and 83: Instructions for Personal Care Services Transfer Requests
Jun 19, 2014758Attention Provider Types 30 and 83: Initial Requests for Personal Care Services
Jun 18, 2014757Update on Outpatient Therapy Claims that Denied with Edit Code 0303
Jun 16, 2014756Additional Special Characters Allowed on Online Prior Authorizations (Updated July 3, 2014)
Jun 16, 2014755Online Prior Authorizations Have New Authorization and Service/Facility Type Options
Jun 16, 2014754"Authorization Status" and "Decision" Column Removed from Provider Web Portal Online System
Jun 12, 2014753Provider Type 17 Specialty 215 Claims for HCPCS Code H0038
Jun 12, 2014752Physician-Administered Drug Claim Rejections
Jun 11, 2014751Anesthesia, Obstetrics and Pediatric Enhancement-Surgical Services Rate Reductions Reversed
Jun 11, 2014750Provider Type 33: Billing Instructions for HCPCS Code E2370
Jun 10, 2014749Attention Provider Types 20, 21, 25, 27, 43, 46 and 77: Medicare Crossover Surgery Claims that Denied with Edit Code 0117 or Paid Inappropriately Will Be Reprocessed
Jun 10, 2014748Reminder: Access to EVS Ends Same Date as Provider Termination
Jun 10, 2014747Brand Name Medications on PDL Pay at "Lesser-of Logic" Pricing (Updated June 24, 2014)
Jun 06, 2014746Clinical Claim Editor Updated with Current NCCI Edits
Jun 06, 2014745Update Regarding Provider Type 17 Specialty 215 (SAAM) Claim Denials
Jun 05, 2014744Ordering, Prescribing and Referring Providers Required to Enroll with Individual NPI
Jun 05, 2014743Provider Type 29: Use Type of Bill 32X
Jun 03, 2014742Launch Date for Nevada''s Health Care Guidance Program Scheduled for June 1, 2014
Jun 02, 2014741Viewing Dental and Orthodontic Prior Authorizations Online through Provider Web Portal
Jun 02, 2014740Physician-Administered Drug Claims That Reimbursed with Dispensing Fees Will Be Reprocessed
May 30, 2014739Cesarean Section Diagnosis Code List Updated
May 29, 2014738Payment Delay for Claims for Newly Eligible/Childless Adults
May 29, 2014737Reminder: Valid ICD-9 and/or Principal Diagnosis Codes Required on CMS-1500, UB and ADA Claim Forms
May 28, 2014736Reminders for Providers Who Submit PASRR and LOC Requests
May 19, 2014735Nevada Medicaid Newly Eligibles with SMI Exemption Cannot Opt Out of Managed Care
May 16, 2014734PERM Cycle 3 Provider Education Webinar/Conference Calls
May 12, 2014733Reimbursement Methodology for ESRD Providers Changes to Bundled Prospective Payment Rate
May 12, 2014732Changes to Recipient Search Criteria in the Provider Web Portal Online System
May 08, 2014731Notice of Decision (NOD) Letters Show 30-Day Detail
May 02, 2014Volume 11, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2014 Provider Newsletter)
Apr 30, 2014730Behavioral Health Provider Types 14 and 82: Alert Regarding Day Treatment Services
Apr 23, 2014729URGENT REMINDER: Dual-Use Periods Are Ending for ADA and CMS-1500 Claim Forms; New Forms Must Be Used
Apr 23, 2014728Use Provider Web Portal System to Request a Review for an Initial or Continued Services Prior Authorization
Apr 23, 20147272014 New Code Update Status
Apr 23, 2014726Attention Provider Type 33: Prior Authorization System Updated to Accept Appropriate Modifiers for Requests for Durable Medical Equipment for Repairs
Apr 23, 2014725Attention Provider Type 63 (RTC): New Instructions for Requesting Prior Authorization
Apr 23, 2014724Special Clinics May Bill CPT Code H0033 for Direct Observation of Treatment
Apr 22, 2014723Annual Rate Increases for Rural Health Clinics (RHC) Provider Type 17 Specialty 180
Apr 18, 2014722Frequently Asked Questions (FAQs) Regarding Enrollment Requirement for Ordering, Prescribing and Referring Providers
Apr 17, 2014721Report Contact and Address Changes on Form FA-33
Apr 16, 2014720Updated Billing Instructions for Fetal Monitoring for Twin Gestations
Apr 16, 2014719Provider Services Field Representative Team Territories Updated
Apr 11, 2014718URGENT: Pharmacy Claims Payments to be Delayed One Week
Apr 09, 2014717Launch Date Postponed for Nevada''s Health Care Guidance Program
Apr 01, 2014716Attention Provider Types 20, 28, 32, 33 and 43 Regarding Claims with Modifiers
Mar 26, 2014715Quantity Limit for Promethazine with Codeine Cough Syrup
Mar 25, 2014714April, May and June 2014 Provider Training Reminder (Updated May 30, 2014)
Mar 24, 2014713CMS-1500 Claim Form Dual-Use Period Extended: New CMS-1500 (02-12) Must Be Used Effective May 3, 2014 (Updated April 14, 2014)
Mar 21, 2014712Dual-Use Period for ADA Claim Forms Extended through April 30, 2014; Fields 29a, 34a and 38 Are Required
Mar 21, 2014711New Maximum Line Limit for Online Prior Authorization Requests
Mar 17, 2014710Schedule Change to the Availability of Electronic Remittance Advices (X12 V5010 835 data)
Mar 14, 2014709"Favorite Providers" for Provider Web Portal Prior Authorizations
Mar 10, 2014708Attention Provider Type 17 Specialty 215 (SAAM) Providers Regarding Claim Denials
Mar 07, 2014707Implementation for CAQH CORE® Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules
Mar 06, 2014706Attention Provider Types 12, 17, 20, 24, 25 and 77 Regarding Claims Recouped in Error
Feb 21, 2014705Policy for Habilitation Services for EPSDT
Feb 21, 2014704Claim Form Instructions Online for New CMS-1500 (02-12) and 2012 ADA Claim Forms
Feb 20, 2014703Provider Enrollment Fax Number Updated on EVS "Contact Us" Webpage
Feb 19, 2014702Attention Pharmacies: Claims adjudication process to validate ordering, prescribing and referring (OPR) practitioners
Feb 12, 2014701Update Regarding: Base Rate Reinstated for Provider Type 27 for Radiology Services
Feb 12, 2014700PCS Serious Occurrence Summary Reports
Feb 05, 2014699Bill Intrauterine Devices and Subdermal Implants with National Drug Code (NDC) Effective April 1, 2014 (Updated March 12, 2014)
Feb 05, 2014698Rate Changes for the Primary Care Physicians (PCP) Rate Increase for Calendar Year 2014
Feb 04, 2014697Prior Authorization Requirements for Nerve Conduction Studies Codes
Feb 03, 2014696Attention Substance Abuse Agency Model (SAAM) - Provider Type 17 Specialty 215
Feb 03, 2014695Implementation of CAQH CORE® Eligibility and Claim Status Operating Rules
Jan 30, 2014694Service Limitations for Basic Skills Training for Provider Types 14 and 82
Jan 28, 2014Volume 10, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2013 Provider Newsletter)
Jan 28, 2014693Attention Provider Types 11, 13 and 56: Overpayments for Inpatient Claims Recouped
Jan 27, 2014692Type of Service Matched Systematically to Type of TPL Coverage on File for Claim Processing
Jan 27, 2014691PASRR II Determination Letter Revised to Clarify Mental Health and Intellectual Disabilities Authority
Jan 27, 2014690CMS-1500 Claims that Denied Inappropriately for Edit Code 0178 Reprocessed
Jan 24, 2014689Providers Encouraged to Respond to ICD-10 Provider Readiness Assessment
Jan 24, 2014688Eligibility Inquiry and Response Screens Updated in the Provider Web Portal
Jan 20, 2014687Medicaid Services Manual Updated
Jan 17, 2014686Targeted Case Management Billing Training Scheduled for Provider Type 54
Jan 17, 2014685Important Information for Physicians Participating in the Primary Care Physician (PCP) Rate Increase Program
Jan 17, 2014684Claims for Surgical Procedures that Denied Inappropriately for Edit Code 0825 Reprocessed
Jan 15, 2014683Implementation of Medicare Ordering and Referring Denial Edits January 6, 2014
Jan 13, 2014682Provider Type 22: Claims for CDT Code D1351 Reprocessed
Jan 08, 2014681Thyrogen® Payable to Physicians for Pharmacy Therapy
Jan 07, 2014680Policy Reminders for Covered and Non-covered Medication Process for Hospice Recipients (Updated February 12, 2014)
Jan 07, 2014679January, February and March 2014 Provider Training Reminder
Dec 30, 2013678New CMS-1500 (02-12) and 2012 ADA Claim Forms May Be Used Effective January 2, 2014; Three-Month Dual-Use Period Begins January 2
Dec 19, 2013677Attention Currently Enrolled Nevada Medicaid Providers: Ordering, Prescribing or Referring (OPR) Provider Enrollment Requirement Will Impact Claims Processing
Dec 18, 2013676New Form to Request Recipient''s DME and Vision Service History
Dec 06, 2013675Dental (PT 22) Rate Reduction Reversed
Dec 03, 2013674Subject Line of User Account-Related Emails Updated
Dec 02, 2013673Notice for the 2014 Code Update
Nov 27, 2013672Attention Providers of Dental Services (PTs 20 and 22): Claims for CDT Code D1208 that Denied for Edit Codes 0153 and 0736 to be Reprocessed
Nov 26, 2013671Durable Medical Equipment Manufacturer''s Invoice Requirements
Nov 25, 2013670Inquire on Dental and Orthodontic Prior Authorizations Using the Online Prior Authorization System
Nov 22, 2013669Claims for CPT Codes 99391 and 99392 Recouped in Error Will Be Automatically Reprocessed
Nov 22, 2013668Urgent Notification: Claims Inappropriately Pended for Edit Code 4899
Nov 15, 2013667Valid Dates for Prior Authorizations Using Revenue Codes
Nov 13, 2013666Ambulance, Air or Ground (PT 32) Rate Reduction Reversed
Nov 12, 2013665Attention All Providers Requesting Nursing Facility Level of Care Assessments: Level of Care Screening Tool Now Available in the PASRR System
Nov 12, 2013664Attention PTs 14, 26 and 82: Proposed Change to Authorization Requirements for Basic Skills Training (BST)
Nov 08, 2013663Update on Implementation for CAQH CORE® Eligibility and Claim Status Operating Rules (Updated December 6, 2013)
Nov 05, 2013662Please Submit Your Evaluation for the 2013 Annual Medicaid Conference by November 8, 2013
Nov 01, 2013661Attention Provider Type 33: Policy Refresher on the Durable Medical Equipment RB Modifier Requirement for Repairs
Oct 31, 2013660Medicaid Services Manual Updated
Oct 31, 2013659November/December Provider Training Reminder
Oct 29, 2013658PT 64 (Hospice) Annual Rate Increase
Oct 24, 2013657Do Not Submit New CMS-1500 and 2012 ADA Claim Forms at This Time
Oct 24, 2013656Physician Claims for Partial Quantities of Certain Drugs Have Been Reprocessed
Oct 21, 2013655Changes Regarding Managed Care Recipients Switching MCOs
Oct 21, 2013654"Contact Us" Page Within Provider Web Portal Has Been Updated
Oct 18, 2013653Clinical Prior Authorization Required for Prolia®, Forteo®, Cesamet®, Marinol® and Omontys®
Oct 18, 2013652Attention Inpatient Hospital Provider Types 11 and 13: Urgent Announcement Regarding Temporary Concurrent Review Prior Authorization Process
Oct 17, 2013651Attention Provider Types 12, 17, 20, 24, 74 and 77: Use Code Q0090 to Bill for Skyla® through 2013
Oct 17, 2013650Attention Provider Type 33: Temporary Rental for Repair of Durable Medical Equipment During Repair of Recipient-Owned Item
Oct 17, 2013649Search Payment History Enhancement for Electronic Verification System and Automated Response System
Oct 16, 2013Volume 10, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2013 Provider Newsletter)
Oct 16, 2013648Have You Registered for the 2013 Annual Medicaid Conference? Don’t Miss This Year’s Event!
Oct 14, 2013647Ambulatory Surgical Centers (PT 46) Rate Reduction Reversed
Oct 11, 2013646Provider Services Field Representative Team
Sep 27, 2013645Provider Type 17 (FQHC): Bill Dental Services using CPT Code 41899
Sep 27, 2013644Attention All Providers: Notice Regarding Tuberculin Shortage for Tuberculosis Screening
Sep 26, 2013643Residential Treatment Centers (RTC) (PT 63) Invited to Join DHCFP’s Monthly Behavioral Health Conference Call on October 9, 2013
Sep 25, 2013642REGISTER NOW: Annual Medicaid Conference in October
Sep 20, 2013641Name(s) of Failed Products Must Be Documented on Prior Authorization Forms
Sep 20, 2013640Medicaid Services Manual Updated
Sep 10, 2013639Instructions for Orthodontia Claims for Managed Care Recipients
Sep 09, 2013638Attention Provider Types 12 and 45: Instructions for New Federal Emergency Services (FES) Program Certification Forms Required for Emergency Dialysis Services for Certain Non-U.S. Citizens
Sep 09, 2013637September Provider Training Reminder (Updated September 17, 2013)
Sep 05, 2013636SAVE THE DATE: All-New Format Planned for the Annual Medicaid Conference in October (Updated October 7, 2013)
Aug 30, 2013635Attention Provider Types 12 and 45: Duplicate Claims for Physician-Administered Drugs Recouped
Aug 29, 2013634Online Prior Authorization System Error Message Issue; This Issue Has Been Resolved
Aug 26, 2013633Verify Recipient Eligibility through Automated Response System or Electronic Verification System
Aug 21, 2013632Attention Provider Types: 30, 38, 48, 57, 58, 59 and 83: HIPAA Non-Medical Provider Requirements Public Workshop Scheduled
Aug 21, 2013631Lexiscan® Billing Notification
Aug 21, 2013630Attention Provider Types 30 and 83: Instructions for Personal Care Services Transfer Requests
Aug 21, 2013629Provider Types 30, 38, 48, 57, 58, 59 and 83: Use Nevada Serious Occurrence Report Form to Report Events/Situations
Aug 20, 2013628New, Helpful Error Messages in Online Prior Authorization System
Aug 08, 2013627Nevada Medicaid and Nevada Check Up Billing Manual Archives Are Now Online
Aug 02, 2013626August Provider Training Reminder
Jul 31, 2013625DHCFP’s Monthly Conference Call for All Providers of Behavioral Health Services (Updated September 26, 2013)
Jul 24, 2013624URGENT Update for Provider Type 47: Claims Denied for Edit Code 1267 Have Been Reprocessed
Jul 16, 2013623CPT Code 90686 (Fluarix®) is FDA-Approved and is a Vaccine for Children (VFC) Vaccine
Jul 16, 2013622Provider Type 29 Claims that Denied with Edit Code 0885 Reprocessed
Jul 09, 2013621Increased Payment for Certain Primary Care Physicians for Calendar Years 2013 and 2014 as Part of the Affordable Care Act
Jul 08, 2013Volume 10, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2013 Provider Newsletter)
Jul 01, 2013620Personal Care Services (PCS) Annual Reassessment Requests
Jul 01, 2013619Attention Outpatient Hospitals: Respiratory Therapy Services Require Authorization
Jun 28, 2013618Provider Types 14, 20, 24, 26, 77 and 82: Place of Service Code 51 Not Accepted for Recipients 22 through 64 Years Old
Jun 25, 2013617Attention Provider Types 11, 13, 56, 63 and 75: Instruction for Concurrent Review PAs That Are Greater Than 18 Lines
Jun 24, 2013616URGENT: Duplicate Claims for Physician-Administered Drugs to be Recouped
Jun 21, 2013615Claims for CDT Codes D7261 and D7241
Jun 20, 2013614URGENT Update for Provider Type 47: Regarding Claims Denied for Edit Code 1267
Jun 20, 2013613Update: Provider Web Portal Upgrade Completed - Action Required
Jun 18, 2013612URGENT UPDATE: Payment Delay for Certain Claims
Jun 13, 2013611Payment Delay for Claims for Nevada Check Up Recipients
Jun 10, 2013610URGENT Message Regarding Claims Denied June 6 and June 7, 2013, for Edit Code 0883 (Updated June 11, 2013)
Jun 07, 2013609June 2013 Provider Training Courses
Jun 06, 2013608Medicaid Services Manual Updated
May 31, 2013607Recipients to Receive Notices of Decision Regarding Technical Denials
May 31, 2013606UB and CMS-1500 Claim Form Instructions Updated
May 30, 2013605Attention Provider Types 11, 13, 56, 63 and 75: Regarding Inpatient Hospital Claims That Underpaid
May 24, 2013604URGENT Notification for Provider Type 47: Regarding Claims Denied for Edit Code 1267
May 24, 2013603Attention Provider Types 24, 74 and 77: Claims for OB/GYN Ultrasounds
May 24, 2013602Dental Coverage, Limitations and Prior Authorization Requirements Document
May 23, 2013601URGENT Notice Regarding Physician-Administered Drug Claims That Denied in Error for Edit Code 9045
May 23, 2013600Inpatient Requests for Concurrent Review
May 20, 2013599Plan Now for ICD-10 Implementation
May 14, 2013598Progesterone Reimbursement Notification
May 13, 2013597Enhancement to Online Prior Authorization Search Using Service Date
May 10, 2013596Attention Provider Types 20, 24, 28 and 77: Prior Authorization Reminder for Psychotropic Drugs
May 09, 2013595Ordering, Prescribing or Referring (OPR) Providers Required to Enroll in Medicaid
May 07, 2013594Update for PTs 20, 24 and 74 Regarding Obstetrical Delivery Claims: Resubmitted Claims Have Been Processed
May 01, 2013593Updated Initial Enrollment and Re-Enrollment Applications Must Be Used
Apr 26, 2013592Provider Training in May Includes an ICD-10 Overview
Apr 26, 2013591Avastin® Notification
Apr 24, 2013590Base Rate Reinstated for Provider Type 27 for Radiology Services
Apr 22, 2013589Update on 2013 CPT, HCPCS and ADA Codes: Affected Claims Have Been Reprocessed
Apr 22, 2013588Attention Providers of Dental Services (PTs 17, 20 and 22): Claims for CDT Code D0230 Reprocessed
Apr 18, 2013587Attention Provider Types 30 and 83: Greater Flexibility of Services
Apr 17, 2013586Attention Provider Types 20, 25 and 41: Update Regarding Claims for Ocular Lenses and Ocular Services
Apr 15, 2013585Medicaid Services Manual Updated
Apr 10, 2013Volume 10, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2013)
Apr 05, 2013584April Provider Training Scheduled for Provider Types 22 and 47
Apr 03, 2013583Update on the 2013 CPT, HCPCS and ADA Codes: 2013 Codes are Available for Billing
Mar 28, 2013582Important Notice Regarding the Banking Services Change
Mar 26, 2013581Update for PTs 20, 24 and 74 Regarding Obstetrical Delivery Claims: Instructions for Billing Third Party Liability and Resubmitting Claims
Mar 19, 2013580Annual Wellness Visit Codes G0438 and G0439 Available for Billing
Mar 18, 2013579Healthy Kids (EPSDT)/Well Baby/Well Child Screening Forms Now Available Online
Mar 15, 2013578March Provider Training Reminder
Mar 11, 2013577Dental Providers (PT 22): Client Treatment History and Handicapping Labiolingual Deviation Forms
Mar 08, 2013576Use Email to Submit Your Enrollment Application
Mar 07, 2013575FAQs Regarding Recent Recoupments on Obstetrical Services Provided to Undocumented Citizens
Mar 07, 2013574Attention Provider Types 12 and 17: Prior Authorization Required for Therapy Services
Feb 28, 2013573Provider Type 39 (ADHC): Use HCPCS Code S5102 for All-day Services
Feb 28, 2013572Base Rate Set for CPT Code 80055 (Obstetric Panel)
Feb 27, 2013571Changes to DHCFP Banking Services (Updated March 22, 2013)
Feb 27, 2013570Attention Provider Types 11 and 19: Room and Board Claims to be Reprocessed
Feb 25, 2013569Reminder to Provider Type 22 (Dental): Dental History Request Form
Feb 20, 2013568Dental Providers: Clarification of Daily Service Limits for CDT Codes D0210, D0220 and D0230
Feb 15, 20135672013 CPT, HCPCS and CDT Codes (Updated February 25, 2013)
Feb 15, 2013566Enhancements to Online Prior Authorization Search Options
Feb 13, 2013565Instructions for the Use of Modifiers 25 and EP with Vaccine and Vaccine Administration Codes (Updated February 6, 2015)
Feb 12, 2013564Attention Provider Types 25 and 41: Some Claims for Ocular Lenses and Ocular Services Reprocessed
Feb 08, 2013563URGENT Update for PTs 20, 24 and 74: Regarding Resubmitting Claims for Obstetrical Deliveries for Medicaid Recipients with Emergency Service Only Eligibility
Jan 23, 2013562URGENT Notice for PTs 20 and 74: Regarding Recoupments for Global OB Services Rendered to Nevada Medicaid Recipients with Emergency Service Only Eligibility
Jan 23, 2013561Concerta® Announcement for Provider Types 14, 17, 20, 21, 22, 24, 25, 27, 28, 31, 36, 37, 45, 72, 76
Jan 21, 2013560Provider Types 12 and 27 to be Paid Technical Component Rate for Radiology Codes (Updated February 12, 2014)
Jan 21, 2013559EVS User Manual Updated
Jan 21, 2013558Do Not Use Modifier TC on Surgical Pathological Consultation Codes
Jan 16, 2013557All-Inclusive ASC Facility Rates Established for BAHA and Cochlear Implants
Jan 14, 2013556Enhancements to Online Prior Authorization Search Options
Jan 09, 2013555Attention Behavioral Health Providers: PA and Billing Instructions for Expired 2012 Codes and New 2013 Codes (Updated January 31, 2013)
Jan 08, 2013Volume 9, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2012)
Jan 08, 2013554Urgent Update on Roll Up of Prior Authorization Lines for Provider Types 11, 13, 51, 56, 63, 75 and 78
Jan 07, 2013553Active Providers Must Use New Re-Enrollment Applications
Jan 07, 2013552Increased Payment for Certain Primary Care Physicians for 2013 and 2014 as Part of the Affordable Care Act
Jan 04, 2013551Duplicate Claims for Physician-Administered Drugs
Jan 03, 2013550January Provider Training Reminder: New Sessions for 2013
Jan 02, 2013549Medicaid Services Manual Updated Per December Hearing
Dec 28, 2012548Overpayments Due to Clinical Claim Editor Recouped
Dec 27, 2012547Rate Set for HCPCS Code A4223 Billed by Provider Types 12, 17 and 33
Dec 21, 2012546Rates Set for Specific Codes Billed by Provider Types 12, 17, 20, 21, 24, 27, 34, 43, 72, 74, 76 and 77
Dec 20, 2012545Personal Care Services Form FA-24 Updated
Dec 12, 2012544Attention Provider Type 34 (Therapy): Prior Authorization Required for Therapy Services (Updated January 2, 2013)
Dec 10, 2012543Quantities of Partial Units of Measure on Drug Claims Effective December 10, 2012
Dec 10, 2012542Updated Version of Clinical Claim Editor Implemented
Dec 10, 2012541Provider Type 33: Billing Change for Suppliers of Pressure Support Ventilators
Dec 04, 2012540December Provider Training Reminder: Prior Authorization on the Web Portal and New Provider Training
Nov 30, 2012539PT 64 Hospice Annual Rate Increase
Nov 30, 2012538Updated Version of Clinical Claim Editor Implementation Scheduled for December 10, 2012
Nov 21, 2012537EHR Incentive Payment Webinar December 5, 2012 – Register Now
Nov 21, 2012536Nevada Incentive Payment Program for Electronic Health Records (EHR) Update
Nov 21, 2012535Attention PT 12, 20, 24, 77: Codes Q4118 and Q4119 May Be Billed
Nov 16, 2012534New Fax Numbers for ADHC, LOC, PASRR, PCS and Dental Forms
Nov 09, 2012533ESRD (PT 45) Claims Reprocessed
Nov 05, 2012532Urgent: Customer Service Telephone Number Options Have Changed
Nov 05, 2012531Medicaid Services Manual Updates
Oct 30, 2012530Updated Clinical Claim Editor
Oct 25, 2012529November Provider Training Reminder: Here is Your Opportunity for Refresher Training
Oct 19, 2012Volume 9, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2012)
Oct 12, 2012528Screening for Provider Preventable Conditions
Oct 10, 2012527Providers Urged to Include New Form with Claim Appeal Request Package
Oct 09, 2012526Enhancements to the Electronic Verification System (EVS)
Oct 08, 2012525Enhancements to the Online Prior Authorization System
Oct 05, 2012524Re-Enrollment Reminder: Complete Each Section of the Provider Enrollment Application
Oct 04, 2012523Quantity Limit for Herceptin®
Oct 02, 2012522Medicaid Operations Manual and Medicaid Services Manual Updated Per September Hearing
Oct 02, 2012521Provider Types 14, 17, 20, 24, 26, 42, 45, 47, 74 and 77: HCPCS Code Q3014 (Telehealth Originating Site Facility Fee)
Sep 28, 2012520All Providers: Follow Specified Time Frames when Submitting Prior Authorization Requests
Sep 28, 2012519CDT Code D1351: Claims that Denied with Edit Code 0936 Reprocessed
Sep 19, 2012518Updated Version of Clinical Claim Editor Implementation on Schedule for October 31, 2012
Sep 14, 2012517Provider Type 46 May Bill New 2012 CPT Codes
Sep 12, 2012516CDT Code D7473: Instructions for PT 22 (Dental Providers) to Resubmit Some Denied Claims
Sep 06, 2012515Reminder Regarding Prior Authorization Continued Stay or Additional Service Requests
Aug 31, 2012514Register Now for Annual Medicaid Conference Breakout Sessions
Aug 28, 2012513CDT Code D9215: Instructions for PT 22 (Dental Providers) to Resubmit Some Denied Claims
Aug 24, 2012512CMS-1500 Claim Form Computer Based Training (CBT)
Aug 24, 2012511September Provider Training Reminder: Using the Medicaid Services Manual; New Provider Training
Aug 22, 2012510Attention All Providers: You Must Re-Enroll within 60 days of the Date on Your Re-Enrollment Letter
Aug 21, 2012509Update on 2012 CPT and HCPCS Codes: Affected Claims Have Been Reprocessed
Aug 16, 2012508Upcoming Changes in Reimbursement to ESRD Providers
Aug 15, 2012507Reminders When Billing Physician-Administered Drugs
Aug 14, 2012506Radiopharmaceutical and Contrast Procedure Codes Update
Aug 13, 2012505PT 22 Must Bill CPT Codes on the CMS-1500 Claim Form
Aug 09, 2012504Rate Increase for CPT Code 84112 for Provider Types 12, 20 and 43
Aug 06, 2012503Medicaid Electronic Health Records (EHR) Incentive Program for Nevada Providers Begins August 7, 2012
Aug 02, 2012502Updated Version of Clinical Claim Editor Implementation Scheduled for October 31, 2012 (Updated August 27, 2012)
Jul 31, 2012501Behavioral Health Provider Types 14 and 82: Day Treatment Prior Authorization Clarification (Updated August 31, 2012)
Jul 30, 2012500August Provider Training Reminder: Introduction to Nevada Medicaid and Nevada Check Up; New Provider Training
Jul 23, 2012499Medicaid Services Manual Updated Per July Hearing
Jul 19, 2012Volume 9, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2012)
Jul 16, 2012498Online Prior Authorization System Survey Results
Jul 09, 2012497Nevada Incentive Payment Program News
Jul 06, 2012496July Training Reminder: Appeals Process, Submitting a Special Batch and Completing Claim Forms
Jul 03, 2012495Fingerprint-based Criminal History and Child Abuse and Neglect Screening (CANS) Requirements
Jul 02, 2012494Personal Care Agency Survey Results
Jul 02, 2012493Medicaid Services Manual Updated Per June Hearing
Jun 25, 2012492CDT Code D0240: Instructions for PT 22 (Dental Providers) to Resubmit Some Denied Claims
Jun 25, 2012491Reminder Regarding Leave of Absences from an Acute Inpatient or Medical Rehabilitation Specialty Hospital
Jun 22, 2012490Automated Provider Training Registration Process Implemented
Jun 21, 2012489Attention Provider Types 11, 20, 24, 74, 75 and 77: Induction of Labor Prior to 39 Weeks and Non-Medically Necessary Elective C-Sections
Jun 19, 2012488Behavioral Health Provider Types 14 and 82: Reminders for Case Management Services
Jun 18, 2012487Behavioral Health Provider Types 14 and 82: Alert Regarding Day Treatment Services
Jun 15, 20124862012 Annual ICD-9-CM Codes Entered into MMIS
Jun 11, 2012485Provider Type 74 May Bill Immunization CPT Codes 90460 and 90715
Jun 07, 2012484ICD-10 Preparation Continues to Move Forward
Jun 07, 2012483June Provider Training Reminder: Register Now Using New Automated Registration Form
Jun 06, 2012482Claims Pending for Edit Code 0291 (Suspended for Budget Relief) (Updated June 14, 2012)
Jun 05, 2012481EDI Announcement: Dual Use for 4010/5010 Formats Ends June 30, 2012
Jun 01, 2012480Electronic Verification System (EVS) Eligibility Enhancements
May 30, 2012479Physician/Outpatient-Facility Administered Drug Claim Denials
May 22, 2012478CDT Code D1351: Updated Instructions for PT 22 to Routinely Submit Claims
May 16, 2012477CDT Code D0230: Instructions for PT 22 (Dental Providers) to Resubmit Some Denied Claims
May 15, 20124762012 CPT and HCPCS Codes Available for Billing
May 11, 2012475Submission Process for Inpatient Facilities Requesting Roll Up of Prior Authorization Lines (Updated June 19, 2012)
May 11, 2012474Providers' Requests for Reviews of Denied/Reduced Prior Authorizations
May 09, 2012473Urgent: Updates for Provider Types 10, 22, 32, 33, 45 and 46 Regarding Rate Reductions or Retractions
May 09, 2012472Medicaid Services Manual Updated per April Hearings
May 04, 2012471Anesthesia Services Claims Submitted Electronically (Updated May 31, 2012)
Apr 30, 2012470EDI Announcement: Nevada Medicaid Version 5010 Solution Limits Diagnosis Codes on 837P Transactions
Apr 30, 2012469May Training Reminder: Spring Training for PCS Providers, New Providers and Allscripts-Payerpath Users
Apr 25, 2012468FDA Acetaminophen Dosage Announcement
Apr 25, 2012467Immunization Administration CPT Code 90460 Claims that Denied or Were Cut Back (Updated May 3, 2012)
Apr 20, 2012466Background Checks
Apr 18, 2012465LCSWs, MFTs and CPCs Reclassified by Nevada Medicaid
Apr 16, 2012464Tips for Provider Administrators when Registering for Online Systems
Apr 05, 2012463CDT Code D7230: Rate Change Effective April 1, 2012
Apr 03, 2012Volume 9, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2012)
Mar 29, 2012462Behavioral Health Providers: Remember to Attach Pertinent Forms to Prior Authorization Requests
Mar 27, 2012461April Training Reminder: Behavioral Health Providers and New Providers Invited to Attend
Mar 23, 2012460Pharmacy Provider Training and Open Forum on March 27, 2012
Mar 21, 2012459Newborn and Other Recipients Incorrectly Enrolled in a Managed Care Plan (March - September 2011)
Mar 15, 2012458DHCFP to Host Public Workshop March 20, 2012, Regarding Personal Care Attendant Registry and NPI Requirement
Mar 15, 2012457EDI Announcement: March 31, 2012, End Date for Dual Use of NCPDP 5.1/D.0 and Extension of Dual Use for 4010/5010 Formats until June 30, 2012
Mar 13, 2012456Update on 2011 CPT, HCPCS and CDT Codes: Affected Claims Were Reprocessed
Mar 09, 2012455Urgent EDI Announcement: 999 Responses on Version 5010 Transactions
Mar 07, 2012454CDT Code D0330: Instructions for PT 22 to Resubmit Some Denied Claims
Feb 24, 2012453Online Prior Authorization Terms and Reminders
Feb 23, 2012452Attend Public Hearings/Workshops and Training Sessions to Provide Your Input
Feb 17, 2012451Enhancements Implemented in the Online Prior Authorization and Electronic Verification Systems (Updated February 21, 2012, and March 8, 2012)
Feb 15, 2012450New Requirements for Provider Re-Enrollment
Feb 10, 2012449Instructions for Locating the Final Determination of a Prior Authorization Request Submitted to Magellan Medicaid Administration
Feb 09, 20124482012 Annual ICD-9-CM Code Update in Progress (Revised February 10, 2012)
Feb 06, 2012447Updates Regarding Online Prior Authorization Requests
Feb 01, 2012446Third Party Liability Information Currently Unavailable through the Electronic Verification System
Jan 31, 2012445Update Regarding Prior Authorizations That Have Yet To Be Determined
Jan 30, 2012444Technical Denials on Prior Authorization Requests for Inpatient Transfers
Jan 30, 2012Volume 8, Issue 4Nevada Medicaid and Nevada Check Up News
Jan 27, 2012443Urgent: Customer Service Telephone Number Options Change
Jan 25, 2012442EDI Announcement: Prepare for March 31, 2012, End Date for Dual Use of 5010 and D.0 Formats
Jan 23, 2012441Tips and Training Regarding Your Clinical and Prior Authorization Requests
Jan 23, 2012440Service Limits for CDT Anesthesia/Sedation Codes D9221 and D9242
Jan 20, 20124395010 Claim Transactions with APIs Are Processing Appropriately
Jan 18, 2012438CDT Code D0230: Instructions for PT 22 to Resubmit Some Denied Claims (See Web Announcement 477)
Jan 18, 2012437CDT Code 1351: Instructions for PT 22 to Resubmit Some Denied Claims (See Web Announcement 478)
Jan 13, 2012436Allscripts-Payerpath Users: Claims Must Include ICD-9-CM/Diagnosis Codes Per 5010 Regulations
Jan 05, 2012435URGENT:Updates and Reminders for Previously Announced Rate Changes for Provider Types 10, 22, 32, 33, 45 and 46 (See Web Announcement 473)
Dec 22, 2011434Medicaid Services Manual Updated Per December 2011 Hearing
Dec 16, 2011433EDI Announcement: Nevada Medicaid Dual Use for 5010 and D.0 Formats
Dec 12, 2011432HPES Schedules December Virtual Training
Dec 01, 2011431Changes to Denture Identification Imbedding Code D5899
Dec 01, 2011430Attention Dental Providers: Panoramic Radiographic Examinations (CDT D0330)
Dec 01, 2011429Changes to Denture Tissue Conditioning (Codes D5850 and D5851)
Dec 01, 2011428MMIS Modification for Sedative Fillings (D2940) and Dental Crowns
Nov 28, 2011427Documentation Time Not Billable
Nov 22, 2011426Behavioral Health Provider Types 14 and 82 Must Be Re-Enrolled
Nov 09, 2011425Claims Processing Transition Timeline
Nov 08, 2011424Instructions for PT 33 Regarding Compression Burn Garment HCPCS codes A6501 through A6512
Nov 03, 2011423Therapists Needed to Perform Functional Assessments for PCS Program
Oct 21, 2011422PERM Provider Education
Oct 18, 2011421URGENT: Previously Announced Rate Changes for Provider Types 22, 32, 33, 45 and 46 Postponed and Rate Change for Provider Type 10 Retracted (See Web Announcement 473)
Oct 11, 2011420Update Regarding November Provider Training
Oct 10, 2011419Medicaid Fiscal Agent Transition Webpage
Oct 10, 2011Volume 8, Issue 3Third Quarter 2011 Newsletter
Oct 07, 2011418Updated Version of the Clinical Claims Editor Complies with National Correct Coding Inititatives
Oct 05, 2011417Last Reminder for Behavioral Health Providers: You Must Be Re-Enrolled by Oct. 31, 2011
Oct 03, 2011416Oct. 7 is Final Day to Request a PIN to Register to Use Magellan Medicaid Administration''s EVS, OPAS and Pharmacy Web PA
Sep 30, 2011415Use HIPAA-Compliant 2011 Codes on Prior Authorization Requests
Sep 29, 2011414Providers Must Repay Medicaid Overpayments within 60 Days of Identification
Sep 26, 2011413Register Now for the Free Annual Medicaid Conference Scheduled in October
Sep 26, 2011412Nevada Medicaid Assigns Single Rate for Immunization Administration Codes 90471, 90472, 90473, 90474 and G9141
Sep 22, 2011411Nevada Medicaid Covers Hydroxyprogesterone Caproate
Sep 19, 2011410Medicaid Services Manual and Nevada Check Up Manual Updated Per August 2011 Hearing
Sep 16, 2011409Re-Enrollment Deadline Approaches for Behavioral Health Providers
Aug 31, 2011408Nevada Medicaid Rate Changes Effective Aug. 1, 2011 for Provider Types 10, 22, 32, 33, 45 and 46 (See Web Announcement 473)
Aug 30, 2011407Listed 2011 CPT, HCPCS and CDT Codes Available for Billing
Aug 15, 2011406Urgent: One Week Delay in Medicare/Medicaid Crossover Payments
Aug 08, 2011405APIs Are No Longer Authorized on Prior Authorization Requests for Behavioral Health Services
Aug 04, 2011404Medical Services Manual and Medicaid Operations Manual Updated Per July 2011 Hearing
Aug 02, 2011403Newborns and Other Recepients Incorrectly Enrolled in a Managed Care Plan
Aug 01, 20114022011 UPDATE for Outpatient Hospital Therapists (PT12) and Independent Therapists (PT34): Instructions to Resubmit Certain Therapy Claims that Processed Out of Sequence and Denied
Jul 28, 2011401Urgent Clarification for Behavioral Health Providers: Do Not Use APIs on Prior Authorization Requests Dates of Service On/After Aug. 1, 2011
Jul 25, 2011400Attention Behavioral Health Provider Types 14, 26 & 82: Use Updated Forms FA-11 and FA-11A
Jul 22, 2011Volume 8, Issue 2Second Quarter 2011 Newsletter
Jul 14, 2011399All-Inclusive Facility Rates Established for Cochlear, BAHA, Baclofen and VNS Surgical Instruments
Jul 05, 2011398Behavioral Health providers: Re-Enrollment Deadline Is Only Four Months Away
Jun 28, 2011397Uses and Restrictions for HPV Codes 90649 and 90650
Jun 24, 2011396Revised Provider Enrollment Application Is Available for Use Now and Must Be Used Efective Aug. 1, 2011
Jun 23, 2011395New Codes for Immunization Administration Effective January 2011
Jun 08, 2011394Five Medicaid Services Manual (MSM) Chapters Updated
Jun 06, 2011393Attention Provider Types 12 and 10: Instructions for Billing the Essure Contraceptive System Supply and the Surgical Procedure
Jun 02, 2011392Prior Authorization and Qualification Reminders for Behavioral Health Provider Types 14 and 82
Jun 01, 2011391Reminder to Physicians Regarding Prior Authorization for Hospital Admissions
May 18, 2011Volume 8, Issue 1First Quarter 2011 Newsletter
May 13, 2011390Reminders for Behavioral Health Providers Following Enrollment/Re-Enrollment
May 13, 2011389DHCFP Plans for Payment of Incentives for Providers’ Use of Certified Electronic Health Record Technology
Apr 20, 2011388Reminder to All Providers Regarding Social Security Act Violations
Apr 14, 2011387Claims for Dental Codes D4320 and D4321
Apr 06, 2011386APIs Are No Longer Assigned to Behavioral Health Providers
Apr 05, 2011385Training Session Scheduled for Provider Type 63 (Residential Treatment Centers)
Mar 21, 2011384Updated Version of Clinical Claim Editor Incorporated into MMIS
Mar 17, 2011383Providers Must Have CLIA Certification to Perform Laboratory Testing
Mar 11, 2011382Reminder to Providers Regarding Paternity Testing
Mar 04, 2011381Training Opportunities for Behavioral Health Providers Regarding Enrollment/Re-Enrollment
Mar 01, 2011380Attention Provider Types 20, 24, 74 and 77: Use HCPCS Code A4264 for Essure Contraceptive System Supply; Prior Authorization Not Required
Feb 25, 2011379Reminder: Prevnar® is a Vaccine for Children (VFC) Vaccine (Updated March 16, 2011)
Feb 21, 2011378HCPCS Code V5299 (Hearing Service, Miscellaneous) Requires Prior Authorization
Feb 16, 2011Volume 7, Issue 4Fourth Quarter 2010 Newsletter
Feb 15, 2011377URGENT: Proposed Prior Authorization Changes for Outpatient Therapists Cancelled
Feb 09, 2011376Recipient Notice of Decision (NOD)
Feb 09, 2011375Prior Authorization and Billing Tips for Behavioral Health Providers Re-Enrolling in Nevada Medicaid
Jan 19, 2011374Prior Authorization Required for Synagis® During RSV Season
Jan 14, 2011373Behavioral Health Providers (PTs 14 and 82) Must Re-Enroll
Jan 11, 2011372Provider Type 11 Claims Are Adjudicating Using “Lesser Than Logic” Methodology
Dec 13, 2010371Revised Provider Enrollment Application Is Available for Use Now and Must Be Used Effective Jan. 1, 2011
Dec 06, 2010370MMIS and Emergency Diagnosis Code List Updated With 2010 ICD-9-CM Codes
Dec 06, 2010369Attention Provider Types 12, 17, 20, 24, 72, 74 and 77: CPT Codes 99051 and 99053 Are No Longer Covered
Dec 03, 2010368Newly Enrolled Behavioral Health Providers (PTs 14 and 82) Must Use NPI to Request Prior Authorizations
Dec 02, 2010367URGENT: Outpatient Therapists (PT 12 and PT 34) May Register Now for Dec. 7 and Dec. 8 Training Webinars
Nov 24, 2010366Therapy Policy and Prior Authorization Changes for Outpatient Therapists: Hospital Outpatient (PT 12) and Community Based (PT 34); Proposed PA changes have been CANCELLED; See Web Announcement 377 for more information
Nov 19, 2010365Attention Provider Types 12, 17, 20, 24, 74 and 77: Effective Dates for New Pneumococcal Vaccine Code
Nov 10, 2010364Attention Dental Providers (PT 22): Prior Authorization Determinations for Dental Services Will No Longer Be Faxed
Nov 01, 2010363Behavioral Health Providers (PTs 14 and 82) Must Re-Enroll Under New Procedures Beginning Jan. 1, 2011
Oct 29, 2010362Attention Provider Types 12, 20, 24, 43, 74 and 77: Unlisted CPT Code 84999 Is No Longer Covered
Oct 20, 2010361Occupational and Physical Therapists Still Needed to Assist with Functional Assessments
Oct 14, 2010360Nevada Medicaid Provider Newsletter Is Now Published Online Only
Oct 14, 2010359Policy Clarification for PT 28 and PT 33 Providers of Diabetic Supplies
Oct 14, 2010Volume 7, Issue 3Third Quarter 2010 Newsletter
Oct 08, 2010358Attention Behavioral Health Providers: Basic Skills Training (BST) Notification Process and Service Limits
Oct 08, 2010357Behavioral Health Providers Urged to Attend Annual Medicaid Conference; November Trainings Canceled
Oct 08, 20103562011 Annual ICD-9-CM Code Update Effective Oct. 1, 2010
Sep 30, 2010355Behavioral Health Providers (PTs 14 and 82) Must Enroll Using NPI
Sep 30, 2010354Update on 2010 CPT and HCPCS Codes: Affected Claims Have Been Reprocessed
Sep 28, 2010353Notice of Decision Letters Will No Longer Be Faxed
Sep 17, 2010352Free Annual Medicaid Conference Scheduled for October
Sep 16, 2010351Residential Treatment Centers Must Use New Form for Therapeutic Home Passes and Revenue Code 0183 to Bill
Sep 01, 2010350New Enrollment Requirements to be Implemented for Behavioral Health Providers (PTs 14 and 82)
Aug 31, 2010349Nevada Medicaid Policy Regarding Developmental Testing Codes 96110 and 96111
Aug 23, 2010348Prior Authorization Requirements and Service Limits Have Changed for Specific Dental Procedure Codes
Aug 19, 2010347Attention Provider Types 12, 20, 24, 43 and 77: Appropriate Codes for Qualitative Drug Screening
Aug 17, 2010346Urgent Message for PT 33 Regarding Claims Submitted for Incontinent Supplies
Aug 13, 2010345Claims for CDT Codes that Denied Inappropriately Have Been Reprocessed
Aug 03, 20103442010 CPT and HCPCS Codes Updated in MMIS
Aug 03, 2010343Attention PT 33: Announcement Regarding DME Repair Codes K0739 and E1340
Jul 26, 2010342Updated Version of Clinical Claim Editor Incorporated into MMIS
Jul 20, 2010341New Rates for Rental DME Codes E0445, E1390, E1391 and E2402
Jul 08, 2010340Provider Types 14, 26 and 82 May Now Submit Prior Authorization Requests Online for Rehabilitative Mental Health Services
Jul 08, 2010Volume 7, Issue 2Second Quarter 2010 Newsletter
Jul 02, 2010339Interruption in Medicare/Medicaid Crossover Files
Jul 02, 2010338UPDATE for Outpatient Hospital Therapists (PT12) and Independent Therapists (PT34): Instructions to Resubmit Certain Therapy Claims that Processed Out of Sequence and Denied
Jun 18, 2010337Provider Type 33: New Rates for Oxygen Contents Codes E0441, E0443 and E0444
Jun 04, 2010336First Health Services'' Name Changes to Magellan Medicaid Administration
May 19, 2010335Online Prior Authorization System (OPAS) Update Effective May 23, 2010
May 18, 2010334Attention PT 33 Providers of Diabetic Shoe-related Services
May 14, 2010333Attention All PT 33 Providers of Incontinent Care Supplies
May 13, 2010332Instructions for PT 38 Billing Self-Directed Services
May 12, 2010331Study Will Evaluate Provider Readiness for Electronic Health Records
May 04, 2010330Reminders for Behavioral Health Services Provider Types 14 and 82
Apr 22, 2010329Reminders for Provider Types 12, 17, 20, 24, 28, 43 and 77 Regarding Ordering Out of State Laboratory Services
Apr 14, 2010Volume 7, Issue 1First Quarter 2010 Newsletter
Apr 14, 2010328Attention All Providers: DHCFP Announces Policy Changes Regarding Orthopedic Shoe-related Services
Apr 13, 2010327Attention PT 33 DME Providers: Final Extension for Re-enrollment
Apr 06, 2010326Attention Provider Types 14, 26 and 82 Billing Rehabilitation Services
Apr 05, 2010325UPDATED APR. 9, 2010: Authorization for Synagis Outside of RSV Season
Apr 02, 2010324Claims for Code G9141 (H1N1) Have Been Reprocessed
Mar 30, 2010323All HIPAA-Compliant Billing Modifiers Accepted by Nevada Medicaid
Mar 23, 2010322Attention Anesthesia Services Providers: DHCFP Announces Policy Changes
Mar 17, 2010321Attention All Providers: DHCFP Announces Policy Changes for Gloves
Mar 17, 2010320REVISED MAY 14, 2010: Attention All Providers: DHCFP Announces Policy Changes for Incontinent Products
Mar 17, 2010319Modifier SG Inappropriate on ASC Surgical Claims
Mar 12, 2010318Prior Authorization Not Required for Certain CPT Codes Effective Dec. 9, 2009
Mar 12, 2010317Equipment Rentals Limited to 6 Units Per Calendar Year
Mar 10, 2010316Clarification for Chemotherapy Prior Authorizations in Relation to Transplants/Harvesting
Mar 04, 2010315Licensed Clinical Professional Counselors and Interns Recognized as Qualified Mental Health Professional Level Providers
Mar 04, 2010314Provider Type 33: Attention Suppliers of Pressure Support Ventilators
Mar 03, 2010313Attention PT 33 DME Suppliers: Re-enrollment Deadline Extended to March 31, 2010
Mar 01, 2010312Provider Type 33: Clarification for Billing Oxygen Contents
Mar 01, 2010311Billing Instructions for Fetal Non-Stress Tests for Twin Gestations
Feb 19, 2010310Authorization Policy for Dentures/Partials for Nursing Facility/Hospice Recipients
Feb 12, 2010309Attention Provider Types 14, 26 and 82: Instructions for Claims That Exceeded Timely Filing Due to Backlog of PA Data Correction Requests
Feb 11, 2010308New Form FH-26A Must Be Used to Request Dental History
Feb 11, 2010307Billing Clarification for Provider Type 12, Hospital Outpatient Service Providers
Feb 01, 2010306Attention Provider Types 14, 26 and 82 Who Perform Basic Skills Training and Psychosocial Rehabilitation Services
Feb 01, 2010305Federally Mandated Annual Rate Adjustment for Hospice Providers
Jan 14, 2010304Attention Therapy (PT 34) and Outpatient Hospital Therapy (PT 12) Providers: Instructions to Resubmit Certain Denied Therapy Claims
Jan 12, 2010303Nevada Medicaid Mail to Providers No Longer Forwarded
Jan 08, 2010302Attention Provider Types 10, 20 and 46: Regarding ASC Surgeon/Facility Claims Denied for Duplicate Service
Dec 31, 2009Volume 6, Issue 4Fourth Quarter 2009 Newsletter
Dec 30, 2009301Annual Redetermination Policy for SED/SMI Recipients
Dec 21, 2009300Room and Board Revenue Code for Nursing Facility and Hospice Providers
Dec 15, 2009299FH-29 Prior Authorization Data Correction Form Submittal Period
Dec 07, 2009298Provider Types 10 and 46: ASC Group Levels Added to CPT Codes 19303, 46945, 46946 and 46947
Nov 30, 2009297Attention Occupational and Physical Therapists
Nov 05, 2009296MMIS Reflects Rates for H1N1 Vaccine Administration
Nov 03, 2009295Update to Vaccine Administration Rates and Codes
Oct 20, 2009294New E-mail Addresses for Provider Training and EDI Units
Oct 16, 2009293Provider Types 12 and 43 May Bill Pathology Codes 85380, 86921, 86922 and 87267
Oct 13, 2009292Important Reminder for Provider Type 12 Regarding Hourly Observation Services
Oct 12, 2009291Attention Dental Providers: Use Age-Appropriate Codes for D1110 and D1120
Oct 09, 2009290New Rate Set for Dialysis CPT Code 90999 Billed by Provider Types 12 and 45
Oct 07, 2009289Annual ICD-9-CM Code Update Effective Oct. 1, 2009
Oct 05, 2009288UPDATE to Web Announcement 287: DHCFP Re-Opens PCS Agency Enrollment in the Greater Las Vegas Area
Sep 24, 2009287PCS Agency Enrollment Moratorium in the Greater Las Vegas Area (See Web Announcement 288 for Updated Notification)
Sep 24, 2009286Providers Are Invited to Join their Staff in Attending Annual Medicaid Conference
Sep 23, 2009Volume 6, Issue 3Third Quarter 2009 Newsletter
Sep 21, 2009285Special Pre-Admission Screening Resident Review (PASRR) Targeted Training for Nurses, Social Workers and Administrators
Sep 08, 2009284Nevada Medicaid and Nevada Check Up Cover H1N1 Vaccine Administration
Sep 03, 2009283Provider Type 22 Oral and Maxillofacial Surgery Claims Reprocessed
Aug 26, 2009282Oral and Maxillofacial Surgery Codes and Rates Updated in MMIS for Provider Type 22
Aug 14, 2009281Urgent Notice for Provider Type 60 – School Based Child Health Services Regarding State Plan Amendment #08-009 and Claims Submission
Aug 12, 2009280Instructions for Combined Hospice Services And Home and Community Based Waiver Services
Aug 06, 2009279Radiosurgery Codes G0339 and G0340 Now Covered for Provider Type 12
Aug 03, 2009278Payment Group for CPT Code 41899 Changes to AS7 for Provider Types 10 and 46
Aug 03, 2009277CMS Program Will Require States to Post List of Medicaid Dental Providers
Jul 20, 2009276Data Correction Requests Submitted by Provider Types 14, 26 and 82 Are Temporarily on Hold
Jul 17, 2009275Attention Personal Care Services Provider Types 30 and 83: Reminders Will Be Discontinued
Jul 14, 2009274Attention Provider Types 14, 26 and 82: Scheduled Training on Form FH-11A Targeted for Clinicians
Jul 10, 2009273Essure Contraceptive System Requires Consent Form; See Web Announcement 380 for Updated Instructions
Jul 08, 2009272Managed Care Organization (MCO) Changes: 12-Month Recipient Lock-In Policy Begins Oct. 1, 2009
Jul 07, 2009271Rate Increases for Home Health Agencies for Pediatric Therapy and Nursing Services
Jul 06, 2009Volume 6, Issue 2Second Quarter 2009 Newsletter
Jul 06, 2009270UPDATED JULY 20, 2009: Attention Provider Types 14, 20, 26 and 82: Use EVS to Obtain Prior Authorization Numbers for Mental Health Services (Requirement Postponed)
Jul 01, 2009269Rate and Coverage Changes Made to Certain Dental Services Procedure Codes
Jul 01, 2009268Legislative Determination Allows Reversal of Certain Policy Changes Announced in September 2008
Jun 29, 2009267Personal Care Service (PCS) Rate Reduction and TF Modifier Requirement
Jun 29, 2009266DHCFP Requires All Providers to Resubmit Provider Contract
Jun 12, 2009265Login Required to Access the Maximum Allowable Cost (MAC) List
Jun 12, 2009264Claims for Adjustments/Voids Will Pend Due to American Recovery and Reinvestment Act Implementation
Jun 08, 2009263Claims Overpaid for Surgical Codes Billed with Modifier 62 (Two Surgeons)
May 27, 2009262Update on 2009 CPT, HCPCS and CDT Codes: Affected Claims Have Been Reprocessed
May 26, 2009261Training Scheduled on Medicaid Policy and Prior Authorizations for Psychotropic Drugs for Children and Adolescents
May 21, 2009260Attention Provider Types 14, 26 and 82: Form FH-11A Version 01/05/09 Must Be Used Effective May 25, 2009
May 12, 2009259Important Notice Regarding Certain Procedure Codes and Prior Authorization Requirements Effective May 1, 2009
Apr 30, 2009258Attention Provider Types 20, 24 and 77: New CPT Codes for Neonatal and Infant Care
Apr 29, 2009257Attention Provider Type 33 and Other Providers Who Bill DME and Supplies: A Policy Refresher on DMEPOS Prescription/Order Requirements
Apr 24, 2009256Update on 2009 CPT and HCPCS Codes: Phase II Codes Updated in MMIS
Apr 23, 2009255Attention Provider Type 33: CMS Quarterly Update Adds HCPCS Labor Codes for DME Repairs
Apr 21, 2009254Attention Provider Type 33 and Other Providers Who Bill DME and Supplies: Maximum Limits Set on Certain Items
Apr 15, 2009253Important Notice Regarding Procedure Codes No Longer Covered and Changes to Code 41899
Apr 13, 2009252Prior Authorization Policy for Psychotropic Drugs for Children and Adolescents
Mar 27, 2009251REVISED APRIL 13, 2009: Update on 2009 CPT, HCPCS and CDT Codes
Mar 27, 2009250Process for PASRR and LOC Determination Letters for OPAS Users
Mar 25, 2009Volume 6, Issue 1First Quarter 2009 Newsletter
Mar 23, 2009249Attention Provider Types 12, 17, 20, 21, 24, 31, 33, 34, 36, 72, 74 and 77: L Codes for Elastic Garments Are Non-Covered as of April 1, 2009
Mar 23, 2009248Monthly Conference Call for Behavioral Health Providers (Provider Types 13, 14, 26, 63 and 82)
Mar 19, 2009247Clinical Claim Editor is Now Part of the Claim Adjudication Process
Mar 12, 2009246WebIZ Training Prepares Providers for New Immunization Reporting Regulations
Feb 18, 2009245REVISED MAR. 26, 2009: PASRR and LOC Policy Changes Implemented
Feb 13, 2009244Clinical Claim Editor to be Implemented March 16, 2009
Feb 03, 2009243Diabetic Supply Program Begins March 1, 2009
Feb 02, 2009242Redesigned Behavioral Health Authorization Form Is Now Online
Jan 30, 2009241Frequently Asked Questions Regarding Clinical Claim Editor
Jan 07, 2009240Billing Guidelines for Essure Contraceptive System
Jan 02, 2009239Managed Care Organization (MCO) Changes: DHCFP Contracts with AMERIGROUP; No Change to Health Plan of Nevada Contract
Dec 29, 2008Volume 5, Issue 4Fourth Quarter 2008 Newsletter
Dec 18, 2008238Hyperbaric Therapy Services Rendered by Provider Type 12
Dec 18, 2008237Code Change for Provider Type 38 Billing Habilitation Services
Dec 18, 2008236Training Scheduled on Redesigned Form FH-11A for Provider Types 14, 26 and 82
Dec 18, 2008235Attention Provider Types 14, 20, 26 and 82 Billing Outpatient Mental Health Services
Dec 17, 2008234Optional EPSDT Screening Forms Available
Dec 15, 2008233Clinical Claim Editor Implementation Now Scheduled for First Quarter 2009
Dec 08, 2008232Urgent Clarification for Provider Type 33 Regarding Prior Authorization Form Requirements for DME Repairs
Nov 25, 2008231Register Now for Free 2009 Provider Training Sessions
Nov 25, 2008230Clarification of Nevada Medicaid and Nevada Check Up Preventive Health Services
Nov 25, 2008229Provider Types 14 and 82: FH-11A Workgroup Scheduled for Dec. 10, 2008
Nov 14, 2008228Pharmacy Lock-In Program Implemented
Nov 06, 2008227Attention Provider Types 14 and 82 Regarding Form FH-11A
Nov 05, 2008226Provider Types 14 and 82: Use New FH-11C for Retrospective Authorization for Crisis Intervention Services
Oct 28, 2008225Update on 2008 CPT and HCPCS Codes and Rates
Oct 28, 2008224Provider Type 83: Use Modifier “TF” When Billing Code T1019 for Self-Directed Skilled Services
Oct 23, 2008223Attention Provider Type 61: Treatment Home Service Eliminated; Enroll as PT 14 or PT 82
Oct 23, 2008222DHCFP Setting Maximum Payment Amounts for Codes that Pay at a Percentage of Billed Charges
Oct 22, 2008221Sunrise Children’s Hospital No Longer Accepts Nevada Medicaid Fee Schedule for Certain Inpatient Pediatric Cases
Oct 16, 2008220Providers May Call for Details Regarding PA Denials
Oct 15, 2008219Mobility Assessment and Prior Authorization for Mobility Devices, Wheelchair Accessories and Seating Systems (form FH-1B)
Oct 15, 2008218Claim Editor Programs Used Widely by Insurance Industry
Oct 07, 2008Volume 5, Issue 3Third Quarter 2008 Newsletter
Oct 06, 2008217Appropriate Dental Services Codes for Topical Fluoride with or without Prophylaxis
Oct 03, 2008216Get Connected and E-Prescribe for Nevada Medicaid/Nevada Check Up Recipients
Sep 19, 2008215Prescription Pads Must Be Tamper Resistant Effective Oct. 1, 2008
Sep 19, 2008214NPPES - Keeping It Safe and Keeping it Updated
Sep 19, 2008213Attention DMEPOS Provider Type 33: New Policy Approved for Coverage of Speech Generating Device (SGD), aka: Augmentative and Alternative Communication (AAC) Devices
Sep 08, 2008212REVISED JAN. 16, 2009: Nevada Medicaid and Nevada Check Up Policy Changes Effective Sept. 8, 2008
Sep 04, 2008211Reminder for Prescribers and Pharmacies Regarding Preferred PPIs
Sep 02, 2008210Attention Provider Types 14, 61 and 82: Special Training for Behavioral Health Providers
Aug 29, 2008209Development Continues on Clinical Claim Editor to Enhance Claims Payment Process
Aug 27, 2008208REVISED INFORMATION: Nevada Medicaid and Nevada Check Up Policy Changes Effective Sept. 1, 2008
Aug 27, 2008207Policy Changes for Personal Care Services Effective Aug. 26, 2008
Aug 27, 2008206Rate for CPT 99070 (Supplies and Materials)
Aug 14, 2008205Provider Type 12 Only: HCPCS Code G0378 for Hospital Observation Service
Aug 05, 2008204PERM Record Requests Start This Month
Jul 31, 2008203New Policy Approved for the Acquisition of Mobility Assistive Equipment
Jul 17, 2008202New Clinical Claim Editor Will Provide Consistent, Faster Claims Adjudication
Jul 16, 2008201Attention Clearinghouses and Direct Submitters Regarding Missing Report Files
Jun 30, 2008Volume 5, Issue 2Second Quarter 2008 Newsletter
Jun 27, 2008200License/Certification Requirements for Personal Care Services Agencies
Jun 18, 2008199Provider Type 45: Bill ESRD Services on UB-04/837I Effective July 1, 2008
Jun 04, 2008198New Clinical Claim Editor Will Enhance Claims Adjudication Process
May 29, 2008197Guidance Regarding a Default Identifier in the Prescriber Identifier Field for POS Transactions
May 23, 2008196NPI: Full Implementation Effective Immediately
May 14, 2008195Rate Increases for FQHC/RHC Provider Type 31
May 14, 2008194Password Upgrades for UAC, OPAS, EVS and Pharmacy Web PA Users
May 13, 2008193CMS to Host NPI Q&A Session on May 19, 2008
May 09, 2008192CMS to Host NPI Roundtable on May 14, 2008
May 05, 2008191NPI: Full Implementation Is Nearing
May 05, 2008190Free Annual Medicaid Conference
Apr 21, 2008189NPI Reminders from CMS and Nevada Medicaid/Nevada Check Up
Apr 14, 2008188REVISED INFORMATION - Update on 2008 CPT and HCPCS Codes and Rates
Mar 28, 2008Volume 5, Issue 1First Quarter 2008 Newsletter
Mar 27, 2008187DHCFP Issues Guidance Regarding Tamper-Resistant Prescription Pads
Mar 19, 2008186Attention Home Health Agencies: No PA Required for Code A0160
Feb 22, 2008185Full NPI Implementation Set for May 23, 2008
Feb 21, 2008184K0552 Now Valid for Use by Provider Type 33 (follow-up to Web Announcement 176)
Feb 18, 2008182REVISED INFORMATION – Reprocessing Has Been Delayed on Behavioral Health Claims
Feb 07, 2008183Pended NDC Claims Released
Jan 24, 2008181Annual Rate Increases for FQHC/RHC Provider Type 17
Jan 24, 2008180Tools to Determine NDC Unit of Measure When Billing Physician Administered Drug Claims
Jan 22, 2008179NPI News from CMS: National NPI Roundtable Scheduled for Feb. 6, 2008
Jan 15, 2008178Nevada Medicaid Covers Prostate Cancer Screening Effective Jan. 1, 2008
Jan 08, 2008177NPI News from CMS: Reporting SSNs and More Reminders for Medicare Providers
Jan 07, 2008176Nevada Medicaid Will Cover External Insulin Pumps and Supplies
Jan 07, 2008175Addition of GN Modifier and Internal Service Limits for Therapy Services for Provider Type 60
Dec 31, 2007Volume 4, Issue 4Fourth Quarter/Fall 2007 Newsletter
Dec 28, 2007174Form FH-70 Discontinued and FH-72 Created for Duplicate Payment Notifications
Dec 27, 2007173NDC Claims Will Pend During Transition Period
Dec 18, 2007172NPI News from CMS: Requirement to Update Information in NPPES and a Key Date for Medicare Providers
Dec 18, 2007171NDC and NDC Quantity Required on Physician/Outpatient-Facility Administered Drug Claims Effective Jan. 1, 2008
Dec 17, 2007170New Fetal Ultrasound Policy Effective Sept. 25, 2007
Dec 05, 2007169Billing Instruction for “J” and “Q” Procedure Codes for Drugs
Nov 28, 2007168Attention: Provider Types 12, 20 and 45 Billing for Erythropoietin Stimulating Agents (ESAs)
Nov 16, 2007167Clarification for PT33 Billing for Enteral Formulas in an Institutional Setting
Nov 16, 2007166NPI News from CMS: Key Medicare Dates and Common Claims Problems
Nov 14, 2007165CMS Changes Time Frame for PERM Records Submittal
Nov 08, 2007164Prior Authorization Changes and Limitation Clarifications for Incontinent Products and Miscellaneous Codes
Nov 06, 2007163NDC Billing Instructions Updated for Physician/Outpatient Administered Drug Claims
Oct 16, 2007162NPI Registry Is Now Online
Oct 04, 2007161NPI NEWS: Issues Related to Clearinghouse and Billing Service Practices in Medicare Claims Processing
Oct 03, 2007160President Signs Bill Delaying Tamper-Resistant Prescription Pad Requirement
Sep 26, 2007159Periodontal Coverage for Pregnant Adult Recipients
Sep 25, 2007Volume 4, Issue 3Third Quarter/Summer 2007 Newsletter
Sep 12, 2007158Pharmacy Web PA Is Now Online for Prescription Drugs
Sep 04, 2007157Tamper-Resistant Prescription Pads Due to be Implemented October 2007 (OUTDATED; See Web Announcement 160)
Aug 29, 2007156DHCFP Reminds Providers of the OIG Exclusion Program
Aug 22, 2007155Reminders for Dental Providers
Aug 16, 2007154UPDATE: NPPES Dissemination of Data Scheduled to Begin Sept. 4, 2007
Aug 09, 2007153Revised Fee Schedule for DME Providers
Jul 30, 2007152New Fax and Phone Numbers for Prior Authorization and Screening Requests (Provider Types 11, 19 and 39)
Jul 20, 2007151Prior Authorization for DME Repair/Labor Codes
Jul 16, 2007150Online PA Available for Provider Types 11, 13, 20 (Specialties 146 and 147), 26, 63 and 75
Jul 05, 2007149CMS to Publish NPI Registry
Jul 05, 2007148Attention CMS-1500 (version 08/05) Billers Using NPI/API on Claim Forms
Jun 25, 2007147New Online Tool Manages Access to EVS, OPAS and the new Pharmacy Web PA
Jun 21, 2007Volume 4, Issue 2Second Quarter/Spring 2007 Newsletter
Jun 11, 2007146Childhood Lead Poisoning Awareness Training (Southern Nevada)
May 25, 2007145Claims Denied for Edit Code 887
May 25, 2007144Free “All Provider” Workshops
May 11, 2007143Urgent: EVS and ARS Systems Offline
May 04, 2007142Attention Admissions/UM Staff/Discharge Planners: Online PA System for PASRR and Level of Care Requests
May 04, 2007141New CMS NPI Contingency FAQs and Reminders
May 04, 2007140Urgent: Contingency Plan for NPI/API and New Dates for Claim Forms
Apr 18, 2007139UB-04 Claim Form Implemented
Apr 11, 2007138Claims for Emergency Dental Services for Undocumented Non-Citizens
Mar 28, 2007137Compliance Date Postponed for New CMS-1500 Form
Mar 27, 2007136Dental PA Requests on 2006 ADA Beginning May 23, 2007
Mar 19, 2007135Therapy Provided Through School Based Child Health Services
Mar 14, 2007134CMS Urges Providers to Share Your NPI
Mar 12, 2007Volume 4, Issue 1Winter/First Quarter 2007 Newsletter
Mar 01, 2007133Urgent Notice for UB Billers: UB-04 Claim Form Delayed
Feb 23, 2007132Provider Type 33 (DME): Rate Changes for Power Mobility Devices
Feb 23, 2007131Provider Type 33 (DME): Regarding K-codes for Power Mobility Devices
Jan 31, 2007130NPI: Use it Now and Report it by May 1, 2007
Jan 31, 2007129Providers May Access Free Webcasts Regarding NPI
Jan 22, 2007128FDA Approves HPV Vaccine
Jan 22, 2007127NPI Events in February Designed for Electronic Billers
Jan 16, 2007126NPI Article, Survey and Event
Jan 16, 2007125NPI Reminders from CMS
Jan 09, 2007124Rate Increases for FQHC/RHC Providers
Jan 05, 2007123ALERT: CMS Briefing on Jan. 11, 2007, Regarding Employee Education About False Claims Recovery
Jan 05, 2007122National Drug Codes Now Accepted on New CMS-1500 (08/05) Claim Form
Jan 05, 2007121New Versions of CMS-1500 and ADA Are Now Valid
Dec 22, 2006Volume 3, Issue 4Fall 2006 Newsletter
Dec 22, 2006120Billing Notice for Provider Type 33 (DME)
Dec 18, 2006119First Training Sessions of 2007 Focus on Claim Forms
Dec 18, 2006118Behavioral Health Prior Authorization Update
Dec 06, 2006117Sharp Workgroup Presents Free NPI Teleconference
Dec 06, 2006116Claims for Office-Administered Drugs
Nov 29, 2006115NPI and New Claim Forms: Are You Ready for 2007?
Nov 16, 2006114Policy Revisions for Hospice Providers
Nov 13, 2006113Encounter Rate in Effect for FQHC/RHC Providers
Nov 13, 2006112Reimbursement Change for Lab/Pathology Services
Nov 08, 2006111Nevada Prescriber List Posted Online
Nov 02, 2006110Rate Increases for Indian Health Services Providers
Oct 31, 2006109Claim Forms Are Changing for 2007
Oct 26, 2006108PCG Merges with HMS
Oct 26, 2006107NPI: Information Session Transcripts and Modules
Oct 17, 2006106NPI: Will You Be Ready With Your Identifier and Taxonomy Code?
Oct 04, 2006105Multiple Claim Lines for Radiology Services
Sep 28, 2006104Managed Care Organization (MCO) Changes
Sep 21, 2006103Three Emergency Diagnosis Codes Removed
Sep 18, 2006Volume 3, Issue 3Summer 2006 Newsletter
Sep 18, 2006102Do You Have Your National Provider Identifier (NPI)?
Sep 14, 2006101NPI: Get It. Share It. Use It. – Alerts Regarding NPI Application Process and Provider Roundtable
Aug 22, 2006100NPI Notice for Medicare DME Suppliers
Aug 17, 200699Counseling and Therapy Rate Changes for Provider Type 38
Aug 16, 200698Policy and Billing Updates for Therapy Services Providers
Aug 04, 200697Rate Increases for Provider Type 61 Implemented
Aug 02, 200696Reminder for Provider Type 20: CPT 95937 Requires Prior Authorization
Jul 31, 200695URGENT ALERT Regarding NPI Application Process
Jul 25, 200694Submitting a Notification of Admission
Jul 19, 200693Rate Increases for Personal Care Services Providers
Jul 17, 200692Rate Increase for Provider Type 23 for Ear Mold/Insert
Jun 30, 200691New 2005 Current Dental Terminology Codes
Jun 26, 200690Procedure Codes and Rates for Provider Type 14
Jun 08, 200689New Rates for Med/Surg, Maternity and Newborn Services for Provider Types 11 and 75
Jun 01, 2006Volume 3, Issue 2Spring 2006 Newsletter
May 22, 2006882006 HCPCS Codes and Rates Updated and Claims Reprocessed
May 19, 200687Reimbursement Update #2 for Provider Type 61/99 Room and Board Payments
May 15, 200686Reimbursement Update for Provider Type 61/99 Room and Board Payments
May 05, 200685Adjustment to Correct Overpayments on ASC Claims
May 04, 2006842006 Codes Posted for Provider Type 33 (DME)
May 01, 200683Advance Payment Instructions for Provider Type 61
Apr 27, 200682Cover Letters Must Accompany Claim Inquiries
Apr 20, 200681Home Health Claims Recycle Project
Apr 17, 200680Attention Durable Medical Equipment Providers (Provider Type 33)
Apr 17, 200679Provider Types 14, 61 and 82: Behavioral Health Redesign Recycle of Denied or Pended Claims
Apr 13, 200678837P Transactions with TPL Denying for Edit 0870
Mar 21, 2006772006 CPT Codes and Rates Updated
Mar 21, 200676Submit Medicare Information to Nevada Medicaid
Mar 01, 2006Volume 3, Issue 1Winter 2006 Newsletter
Feb 17, 200675Rates for the 2006 HCPCS and CPT Codes
Feb 16, 200674FH-40 Medicare Crossover Claim Form Discontinued
Jan 24, 200673Important Changes for UB-92 Claims With Third Party Liability
Dec 30, 200572Update on Behavioral Health Redesign Implementation
Dec 29, 200571Attention Personal Care Aide Providers Regarding Recent Rate Increases
Dec 28, 200570Important Changes for CMS-1500 Claims With Third Party Liability
Dec 08, 2005Volume 2, Issue 4Fall 2005 Newsletter
Dec 08, 200569Outpatient Hospital Claims Adjusted for Edit Code 0055 Denial
Dec 08, 200568Erectile Dysfunction Drug Payment Policy Change
Nov 01, 200567Medicare Exhausted Benefits in the PA Process
Oct 21, 200566Important Changes for Dental Claims Showing Third Party Liability
Oct 14, 200565Effective Date Set for PDL Changes
Sep 19, 200564Attention Provider Type 11 Regarding Edit Code 0639
Sep 12, 200563Nursing Facility Rates Updated
Sep 12, 200562Adjustment for Provider Type 12 Receiving Edit Code 0210
Sep 01, 2005Volume 2, Issue 3Summer 2005 Newsletter
Aug 23, 200561Dental Claims Paid Without Proper Prior Authorization
Aug 08, 200560Patient Liability Amounts for Nursing Facilities
Aug 05, 200559Single-Source Lab Contract Ends
Aug 03, 200558Attention Provider Type 31 Regarding Immunization Administration
Jul 19, 200557Rate Enhancement and Claim Adjustment
Jul 08, 200556Claims for Outpatient Hospital Services
Jun 01, 2005Volume 2, Issue 2Spring 2005 Newsletter
May 17, 200555Attention Provider Type 19 (Nursing Facility) Billing for Leave of Absence
May 09, 2005542005 Rates Now in Effect for CPT and HCPCS Codes
May 06, 200553New Instructions for Provider Types 10 and 46 When Billing for ASC Services
Apr 25, 200552Bextra® Sales Suspended
Apr 20, 200551Attention Nursing Facilities (Provider Type 19)
Apr 18, 200550''Continuation of Care'' Policy Change for Urban Clark County Dental Providers - Effective June 1, 2005
Mar 09, 200549Recipient Referral Information for Dental Providers
Mar 09, 200548DUR Board and P&T Committee Meetings
Feb 18, 200547ADA Claim Form 1999, Version 2000
Feb 18, 200546Guidance for Vaccines For Children Program
Feb 18, 200545The Payment Error Rate Measurement (PERM) Project
Feb 16, 2005Volume 2, Issue 1Winter 2005 Newsletter
Feb 11, 200544Claims Denied for Edit Code 0104
Feb 07, 200543Attention Provider Type 20 (Physician, M.D., Osteopath)
Jan 19, 200542Attention Provider Type 29 (Home Health Agency)
Dec 22, 200441Attention Providers Who Bill Using CPT and HCPCS Codes
Dec 07, 200440Attention Providers Who Bill Using Diagnosis Codes
Nov 10, 200439New Policy Regarding Advance Payments
Oct 18, 2004Volume 1, Issue 3Fall 2004 Newsletter
Sep 24, 200438Medicare Crossover Claims Update
Sep 14, 200437Advance Payments for Unprocessed Claims Temporarily Suspended
Sep 09, 200436Revised Medicare Information Form
Aug 27, 200435EDI and Payerpath Make It Easy to Submit Claims
Aug 27, 200434Edit Code 0453 for Provider Types: 167 (specialty 182 only), 35, 38, 39, 47, 48, 49, 51, 52, 57, 58, 60, 63, 64, 65, 68, 78, 79 and 80
Aug 06, 200433Edit Code 1175 Pertaining to Providers Rendering Anesthesia Services
Aug 04, 200432Reprocessing Medicare Crossover Claims
Aug 04, 200431Electronic Medicare Crossover Claims
Aug 04, 200430Third Party Liability Claims by Provider Type 19
Jul 28, 200429Edit Code 1255 for Providers Using Claim Type 05
Jul 27, 200428Edit Code 0639 for Provider Type 30 (Personal Care Aide - Provider Agency) and Provider Type 39 (Adult Day Health Care)
Jul 19, 200427Rate Increase on Procedure Code S5100 for Provider Type 39
Jul 06, 200426Claims Denied Due to Edit Codes 0301302249 and 0330
Jul 06, 200425Claims Denied Due to Edit Codes 0201 and 0202
Jul 06, 200424Electronically Filed Claims Being Reprocessed
Jul 01, 2004Volume 1, Issue 2Summer 2004 Newsletter
Jun 28, 200423First Health Services wishes the best to Earle Johnson
Jun 16, 200422Advance Payments for Unprocessed Claims Temporarily Suspended
May 28, 200421Diabetic Supply/DME Billing Procedures
May 11, 2004Volume 1, Issue 1Spring 2004 Newsletter
May 03, 200420Claim Denials Due to Error Codes 130 and 729
May 03, 200419Dental Claims Showing Error Code 453
May 03, 200418Claims Denied Due to Error Codes 0301, 0302, 0249 and 0330
Apr 26, 200417Claim Denials Due to Error Codes 318 and 983
Apr 19, 200416Claim Reminder for Provider Type 12
Apr 12, 200415Unnecessary Prior Authorization Numbers
Mar 24, 200414Billing Advice for DME Providers
Mar 12, 200413Error Code 318
Feb 27, 200412Submitting Medicare Crossover Claims & Attach EOBs to All Claims
Feb 20, 200411Waiver for the Elderly in Adult Residential Care (Provider Type 57)
Dec 22, 200310Crossover Claims From Noridian
Dec 02, 20039Active Forms Now Available
Oct 30, 20038Update to Medicare Crossover Claim Form and Instructions
Oct 13, 20037Reasons Claims Are Being Denied, Returned, or Delayed, & Plastic Nevada Medicaid and Nevada Check Up cards
Oct 10, 20036EVES Extension - Amended
Sep 30, 20036EVES Extension
Sep 26, 20035Notice to CMS-1500 Billers
Sep 26, 20034Procedure Descriptions, Incorrect Provider Medicaid ID Numbers and the Medicaid Approved Dental Claim Form
Sep 19, 20033Service Levels
Sep 18, 20032Re-enrollment Letters
Sep 15, 20031Billing Errors