Nevada Medicaid and Nevada Check Up News (Second Quarter 2025 Provider Newsletter) [Read]

Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled [See Web Announcement 2009]

Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Announcement 850]

If you are a Medicaid provider whose revalidation application has not been processed by your termination due date, you will be ineligible to provide services to any Nevada Medicaid or Nevada Check Up recipients, including both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. See Web Announcement 1265

Enrollment Termination Frequently Asked Questions (FAQs) [Review]

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Top 10 Claim Denial Reasons and Resolutions/Workarounds for May 2025 Professional Claims. See Web Announcement 3651.

Top Prior Authorization Denial Reasons for the First Quarter of 2025. See Web Announcement 3630.

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DateAnnouncement NumberTopic
Jul 09, 20253670Nevada Private Hospital Assessment State Fiscal Year (SFY) 2025 Rate Levied
Jul 08, 20253669Attention All Providers: Provider Flex New Functionality
Jul 08, 20253668New Provider Type (PT) 97 (Peer Support) Available for Enrollment Effective July 8, 2025
Jul 08, 20253667Attention All Providers: The New Provider Enrollment Solution, Provider Flex, is Now Live for All Providers!
Jul 07, 20253666Available July 21, 2025: New Specialty 714 for Registered Nurses Under Provider Type 93 (Substance Use Treatment)
Jul 07, 20253665Drug Use Review (DUR) Board approves changes effective June 30, 2025
Jul 07, 20253664Updates made to filling requirements for Statin medications, effective 6/30/25
Jul 07, 2025Volume 22 Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2025 Provider Newsletter)
Jul 03, 20253663New Provider Type (PT) 97 to be Created for Peer Support
Jul 01, 20253662Medicaid Services Manual Chapters Updated
Jul 01, 20253661Nevada Health Authority is Official and DHCFP Becomes Nevada Medicaid Effective July 1, 2025
Jun 27, 20253660Quarter 3 2025 New Code Update
Jun 27, 20253659Quarter 2 2025 New Code Update
Jun 26, 20253658Medicaid Services Manual Chapters Updated
Jun 24, 20253657Attention Provider Type 34 (Therapy) Specialty 28 (Occupational Therapy): 10% Rate Increase Implemented for Occupational Therapy Services
Jun 18, 20253656Attention All Providers: Provider Type 63 Description Updated to Psychiatric Residential Treatment Facility (PRTF)
Jun 17, 20253655Updates Regarding National Correct Coding Initiative (NCCI) Quarter 2 2025 Files
Jun 16, 20253654Recipient Eligibility Expanded for Pregnant Women
Jun 16, 20253653Provider Directory Information Request for Providers
Jun 16, 20253652Medicaid Management Information System Updated with NCCI Quarter 3 2025 Files
Jun 16, 20253651Attention All Providers: Top Claim Denial Reasons and Resolutions/Workarounds for May 2025 Professional Claims
Jun 12, 20253650Medicaid Services Manual Chapter 1200 Updated
Jun 12, 20253649Attention All Providers: Clinical Records Procurement for Encounter Data Validation
Jun 11, 20253648Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Clinic): Annual Medicare Economic Index (MEI) Rate Adjustment Implemented
Jun 03, 20253647Attention All Providers, Delegates and Staff: Upcoming Training Sessions on Provider Flex! Powered by Gainwell Technologies Provider Training Team
Jun 03, 20253646Attention Provider Types (PT) 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment), and 93 (Substance Use Treatment): Substance Use Treatment and Behavioral Health Procedure Codes Available for Billing
Jun 02, 20253645Drug Use Review (DUR) Board approves changes effective June 2, 2025
May 30, 20253644Attention Provider Types 11 (Hospital, Inpatient) and 13 (Psychiatric Hospital, Inpatient): Reminder of Non-Emergent Hospital or Level of Care Transfer Requirements
May 27, 20253643Attention All Providers: New Training for Electronic Health Records (EHR) Available
May 27, 20253642Attention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment), or 93 (Substance Use Treatment): Update Regarding Procedure Code 99408
May 22, 20253641Medicaid Services Manual Chapter 2300 Updated
May 21, 20253640Attention Provider Type 63 (Psychiatric Residential Treatment Facilities (PRTFs)): Update Regarding PRTF Rates
May 21, 20253639Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Update Regarding Acute Hospital Rates
May 21, 20253638Attention All Providers and Medicaid Partners: Changes are Coming to Rural Medicaid
May 20, 20253637New Provider Type 96 Available for Enrollment Effective May 20, 2025
May 20, 20253636Attention Provider Type 64 (Hospice): Service Limitations Added in the Medicaid Management Information System (MMIS) for Hospice Revenue Codes
May 19, 20253635Attention Provider Type 17 (Special Clinics) Specialty 174 (Public Health Clinic): Update Regarding Claims for Education and Training
May 15, 20253634Attention All Providers Who Perform Long-Acting Reversible Contraception (LARC) Services: Service Limitation Update for Procedure Codes 11981 and 11983
May 14, 20253633Professional and Professional Crossover Claims That Should Have Denied With NCCI Edits Have Been Reprocessed
May 12, 20253632Attention All Providers: DocuSign Identification (ID) Verification (Updated June 2, 2025)
May 12, 20253631Attention All Providers: Clinical Records Procurement for Encounter Data Validation
May 09, 20253630Attention All Providers: Top Prior Authorization Denial Reasons for the First Quarter of 2025
May 09, 20253629Available May 20, 2025: New Provider Type for Rural Emergency Hospitals
May 07, 20253628Attention Practitioners, Ambulatory Surgical Centers, Outpatient Hospitals and Durable Medical Equipment Providers: Reminder Regarding National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUEs)
May 01, 20253627Revision to Recipient-Based Letter of Agreement (LOA)
May 01, 20253626Medicaid Services Manual Chapters Updated
Apr 30, 20253625Reminder to All Enrolled Providers Regarding Provider Flex
Apr 30, 20253624Attention Provider Type 17 (Special Clinics) Specialty 182 (Indian Health Services (IHS), Urban Indian Organizations): Long-Acting Reversible Contraception (LARC) Devices Services Available
Apr 29, 20253623Attention All Providers, Delegates and Staff: Upcoming Provider Flex Overview Training Session Update
Apr 29, 20253622Reminder to Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Unit Requirement for Wearable Cardioverter Defibrillator (WCD) Vests Before Receiving Replacement Supplies
Apr 29, 20253621Updates to Limitation Error Codes
Apr 28, 20253620Medicaid Services Manual Chapters Updated
Apr 24, 20253619Attention All Providers: Provider Flex – DocuSign Email Guidelines
Apr 24, 20253618Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 4 Rate Updates Implemented
Apr 24, 20253617Attention Provider Type 60 (School Health Services): State Plan Amendment Approved for Local Education Agencies
Apr 23, 20253616Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2025 Professional Claims
Apr 23, 20253615Crisis Intervention Service Claims That Denied With Error Code 5695 Have Been Reprocessed
Apr 22, 20253614Claims for Adult Vaccines Will No Longer Deny with Error Code 868
Apr 22, 20253613Attention Provider Type 47 (Indian Health Services and Tribal Clinics): Encounter Code T1502 Open for Billing
Apr 21, 20253612Attention Providers Billing for Physician-Administered Drugs (PAD): System Updates
Apr 18, 20253611Attention Provider Types 11 (Hospital, Inpatient), 12 (Hospital, Outpatient), and 20 (Physician, M.D., Osteopath, D.O.): Billing Guides Updated
Apr 17, 20253610Attention All Providers: Clinical Records Procurement for Encounter Data Validation
Apr 16, 20253609Reminder to All Providers: Medical Record Documentation Policy
Apr 11, 20253608Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Submittals With Excluded Individuals or Entities Will Deny
Apr 11, 20253607Urgent Announcement for Provider Type 85 (Applied Behavior Analysis): Survey Responses Requested by April 25, 2025
Apr 09, 20253606Medicaid Services Manual Chapters Updated
Apr 08, 20253605Important Update: Attention Dental Providers: Area of the Oral Cavity and Tooth Anatomy Requirements Reversed
Apr 08, 20253604Attention Provider Type 60 (School Health Services): Modifier GN is No Longer Required on Claims for Procedure Codes 98960, 98961, and 98962
Apr 07, 20253603Attention Providers Who Submit Serious Occurrence Reports (SOR): Web-Based SOR Form Removed from Nevada Medicaid Provider Website
Apr 07, 20253602Attention All Providers: Provider Flex New Feature – Docusign
Apr 07, 20253601Attention Provider Type 93 (Substance Use Treatment): Group Enrollment Effective Date
Apr 03, 20253600Drug Use Review (DUR) Board approves changes for Physician Administered Drugs (PAD)
Apr 03, 20253599Drug Use Review (DUR) Board approves changes effective March 31, 2025
Apr 03, 20253598Silver State Scripts Board Made Changes to the Preferred Drug List Effective April 3, 2025
Apr 01, 20253597Attention Provider Types 11 (Hospital, Inpatient) and 75 (Critical Access Hospital): Long-Acting Reversible Contraception Devices Services Now Open For Billing
Apr 01, 20253596Attention Provider Type 22 (Dentist): Medicaid Management Information System (MMIS) Updated to Match Dental Policy Prior Authorization Requirements
Mar 31, 2025Volume 22 Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2025 Provider Newsletter)
Mar 31, 20253595Attention All Providers: Blackout Periods for the Phased Implementation of Provider Flex
Mar 31, 20253594Attention All Providers: Complete Existing Provider Enrollment Applications Prior to Provider Flex Implementation
Mar 28, 20253593Attention All Providers: Top Claim Denial Reasons and Resolutions/Workarounds for February 2025 Professional Claims
Mar 25, 20253592Claims for Sleep Study Procedure Codes Billed With Modifier TC or Modifier 26
Mar 25, 202535912025 Annual New Code Update
Mar 24, 20253590Attention All Providers: Provider Flex New Feature – Error Identification
Mar 24, 20253589Medicaid Services Manual Chapter 1200 Updated
Mar 21, 20253588Invoice Requirements for Durable Medical Equipment (DME) With No Rate Assigned at Prior Authorization
Mar 21, 20253587Attention Provider Types 11 (Hospital, Inpatient) and 75 (Critical Access Hospital): Long-Acting Reversible Contraception Devices Services Will Be Opened for Billing
Mar 19, 20253586Attention Provider Type 33 (Durable Medical Equipment (DME)) and Referring Providers for DME: Updates to DME Prior Authorizations (PA) in the Electronic Verification System (EVS)
Mar 18, 20253585Attention Provider Type 17 Specialties 180 (Rural Health Clinics) and 181 (Federally Qualified Health Centers): Long-Acting Reversible Contraception (LARC) Devices Services Available
Mar 18, 20253584Medicaid Management Information System Updated with NCCI Quarter 2 2025 Files
Mar 18, 20253583Attention Provider Type 29 (Home Health Agency): Updates to Billing Requirements
Mar 18, 20253582Updates Regarding National Correct Coding Initiative (NCCI) Quarter 1 2025 Files
Mar 18, 20253581New Provider Type 95 (Home and Community Based Services Waiver for Structured Family Caregiving) Available for Enrollment Effective March 17, 2025
Mar 14, 20253580Medicaid Services Manual Chapters Updated
Mar 14, 20253579Attention All Providers, Delegates and Staff: Upcoming Training Sessions for Provider Flex, Gainwell Powered Provider Enrollment - Registration Now Open
Mar 13, 20253578Electronic Records Waiver Application and Guide Now Available
Mar 11, 20253577Updates Regarding Durable Medical Equipment (DME) Procedure Codes E0604 and E2512
Mar 11, 20253576Place of Service Code 27 Added to the Medicaid Management Information System (MMIS)
Mar 10, 20253575Attention Provider Types 10 (Outpatient Surgery, Hospital Based) and 46 (Ambulatory Surgical Centers): Rate Update Implemented for Procedure Code G0330
Mar 05, 20253574Attention Provider 14 (Behavioral Health Outpatient Treatment): Service Limitation Updated for Procedure Code H0002
Mar 04, 20253573Attention Provider Type 85 (Applied Behavior Analysis (ABA)): Reminder of Limitations for Adaptive Behavior Treatment for Individuals
Mar 04, 20253572Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurses), and 77 (Physician’s Assistant): Error Code 5528 Updated for Antepartum Procedure Codes
Mar 03, 20253571Attention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 93 (Substance Use Treatment) Linked to a Provider Type 93 Group: Behavioral Health Services Codes Open For Billing
Mar 03, 20253570Attention All Providers: Provider Flex New Feature – Reaccessing Data
Mar 03, 20253569Drug Use Review (DUR) Board approves changes for Physician Administered Drugs (PAD)
Mar 03, 20253568Drug Use Review (DUR) Board approves changes effective March 3, 2025
Feb 27, 20253567Medicaid Centralized Credentialing Effective February 28, 2025! (Updated March 7, 2025)
Feb 26, 20253566Attention All Providers: Provider Flex New Feature – Integrated Checklists
Feb 25, 20253565Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Rates for Dialysis Codes 90945 and 90999 Adjusted for 2025
Feb 25, 20253564Indian Health Program Rates Adjusted for Calendar Year 2025
Feb 25, 20253563Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 82 (Behavioral Health Rehabilitative Treatment): Prior Authorization Requirement Updated for Procedure Code H0038
Feb 24, 20253562Medicaid Services Manual Chapter 4200 Updated
Feb 21, 20253561Attention All Providers: Urgent/Emergency Enrollment Type Removed for Certain Provider Types
Feb 20, 20253560IMMEDIATE ATTENTION REQUIRED for Provider Type 17 (Special Clinics) Specialties 215 (Substance Use Agency Model) and 171 (Methadone Clinic): DEADLINE and TERMINATION Reminder
Feb 20, 20253559Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2025 Professional Claims
Feb 20, 20253558Oxygen Concentrator Recall: JIANGSU JUMAO X-CARE MEDICAL EQUIPMENT CO LTD Removes JMC5A Ni/TruAire-5 Oxygen Concentrator Due to the Devices Spontaneously Catching Fire
Feb 19, 20253557Attention Provider Type 89 (Community Healthcare Workers): Update to Error Codes for Service Limitations
Feb 19, 20253556Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Error Code 5081 Updated and Claims That Paid in Error Will Be Reprocessed
Feb 18, 20253555Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 3 Rate Updates Implemented
Feb 14, 20253554Attention Home and Community Based Waiver Providers for the Frail Elderly and for Persons with Physical Disabilities: Error Codes 5036 and 5058 Updated
Feb 12, 20253553Attention All Providers: Provider Flex New Feature – Attachment Process
Feb 11, 20253552Attention Dental Providers: Some Procedure Codes Updated with Correct Claim Requirement Information; Error Codes 5064 and 5065 Updated
Feb 11, 20253551Provider Type 87 (Crisis Services) Specialty 250 (Crisis Stabilization Center) May Submit Institutional Claims
Feb 06, 20253550Attention Provider Type 32 (Ambulance, Air or Ground): Clarification of Medically Necessary Transports via Air Ambulance
Feb 06, 20253549Attention Provider Types 44 (Swing-Bed, Acute Hospital) and 75 (Critical Access Hospital, Inpatient): Provider-Specific Rates Established
Feb 05, 20253548Attention All Providers: Top Prior Authorization Denial Reasons for the Fourth Quarter of 2024
Feb 04, 20253547Attention Provider Type 93 (Substance Use Treatment): Substance Use Treatment/Outpatient Behavioral Health Authorization Request (Form FA-11D) Updated
Feb 03, 20253546Funding Available to Comply with New Electronic Health Record Requirements
Jan 31, 20253545Attention Provider Type 46 (Ambulatory Surgical Centers): Prior Authorization Required for Skin Substitute Procedure Codes
Jan 31, 20253544Medicaid Services Manual Chapter 1200 Updated
Jan 29, 20253543Skin Substitution Services and Products Open for Billing for Wound Care Management
Jan 29, 20253542Attention All Providers: Provider Flex New Feature – Dashboard
Jan 28, 20253541Attention Provider Type 93 (Substance Use Treatment): Substance Use Treatment Procedure Codes H0011, H0018, and H0019 Open for Billing
Jan 27, 20253540Attention All Providers, Delegates and Staff: Upcoming Training Sessions for February 2025
Jan 24, 20253539Attention All Providers: Multi-Factor Authentication Enrollment Issue
Jan 24, 20253538Attention All Providers: Top Claim Denial Reasons and Resolutions/Workarounds for December 2024 Professional Claims
Jan 23, 20253537Attention Provider Type 77 (Physician’s Assistant): Rate Updates Implemented (Updated March 21, 2025)
Jan 22, 20253536Professional and Outpatient Claims with Add-On Codes that Denied in Error Will be Reprocessed (Updated February 21, 2025)
Jan 22, 20253535Durable Medical Equipment (DME) Procedure Codes E2512 and E2599 Updated
Jan 21, 20253534Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.) Specialty 699 (Children’s Cancer and Rare Diseases Clinic): Claims That Denied With Error Code 5082 Have Been Reprocessed
Jan 21, 20253533Attention All Providers: Required Enrollment in Multi-Factor Authentication
Jan 21, 20253532Claims for Some Drug-Related Procedure Codes Have Been Reprocessed
Jan 17, 202535311099-Misc. Forms for 2024 Tax Year to be Mailed to Providers by January 31, 2025
Jan 16, 20253530Provider Type 64 Hospice Billing Guide Updated
Jan 16, 20253529Medicaid Services Manual Chapters Updated
Jan 13, 20253528Attention All Providers: Preparation for Multi-Factor Authentication Coming January 2025!
Jan 10, 20253527Medicaid Operations Manual Chapter 1300 Updated
Jan 10, 20253526Attention Provider Type 93 (Substance Use Treatment): Individuals Must be Linked to a Group
Jan 07, 20253525Attention Provider Type 58 (Waiver for Persons with Physical Disabilities) Specialty 204 (Home Delivered Meals): Rate Update Implemented
Jan 07, 20253524Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Acute Hospital Rate Updates Implemented
Jan 06, 20253523Attention All Providers: Preparation for Multi-Factor Authentication Coming January 2025!
Jan 06, 20253522Drug Use Review (DUR) Board approves changes for Physician Administered Drugs (PAD)
Jan 03, 20253521Breast Pumps And Supplies Covered For Nursing Mothers With Infants Up To 12 Months Of Age
Jan 03, 20253520Medicaid Services Manual Chapters Updated
Jan 03, 20253519Services for Justice Involved Reentry Initiative Covered Effective January 1, 2025
Jan 03, 20253518New Billing Guide Available for the Justice Involved Reentry Initiative
Jan 02, 20253517Attention Behavioral Health Providers: Restoration of Neurotherapy into Medicaid Services Manual (MSM) Chapter 400 – Mental Health Services
Jan 02, 20253516Attention All Providers: Reminder to Bill Usual and Customary Charges
Dec 31, 2024Volume 21 Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2024 Provider Newsletter)
Dec 31, 20243515Attention Provider Type 85 (Applied Behavior Analysis (ABA)): Update for Claims with Overlapping Dates of Service
Dec 30, 20243514Attention All Providers: Preparation for Multi-Factor Authentication Coming January 2025!
Dec 27, 20243513Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Procedure Code T2019 with Modifier XE Open for Billing
Dec 26, 20243512Medicaid Services Manual Chapters Updated
Dec 26, 20243511Effective Enrollment Dates for Provider Types (PT) 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM)) Transitioning to PT 93 (Substance Use Treatment)
Dec 23, 20243510Changes made to Diabetic Supplies Preferred Product List effective December 23, 2024
Dec 19, 20243509Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2024 Professional Claims
Dec 18, 202435082025 Annual New Code Update
Dec 18, 20243507Medicaid Management Information System Updated with NCCI Quarter 1 2025 Files
Dec 18, 20243506Attention Providers of Ocular Procedure Codes: Service Limitations Updated for Some Eye Examinations
Dec 17, 20243505Expansion of Medicaid Coverage to Include Medically Necessary Abortions
Dec 17, 20243504Attention Provider Type 63 (Residential Treatment Centers): Inpatient Claims Denied with Error Code 5001 Will Be Reprocessed
Dec 17, 20243503Error Codes Related to Durable Medical Equipment (DME) Updated
Dec 13, 20243502Multi-Factor Authentication Ready for January 2025!
Dec 11, 20243501Prior Authorization Required for Skin Substitute Procedure Codes (Updated December 17, 2024)
Dec 10, 20243500Error Code 6151 Updated for Current Procedural Terminology (CPT) Codes 99221, 99222, and 99223
Dec 09, 20243499Attention Provider Type 19 (Nursing Facility): Behaviorally Complex Care Program (BCCP) Claims Have Been Reprocessed
Dec 06, 20243498Attention All Providers: Top Claim Denial Reasons and Resolutions/Workarounds for October 2024 Professional Claims
Dec 06, 20243497Attention Provider Type (PT) 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM) and PT 93 (Substance Use Treatment): Reminder of Application Deadline and Termination Date (Updated December 9, 2024)
Dec 05, 20243496Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse), 74 (Nurse Midwife) and 77 (Physician’s Assistant): Behavioral Health Integration Codes Open for Billing
Dec 05, 20243495Medicaid Services Manual Chapter 1200 Updated
Dec 04, 20243494Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 82 (Behavioral Health Rehabilitative Treatment): Cardiopulmonary Resuscitation (CPR) Certification Requirements
Dec 04, 20243493Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.) 24 (Advanced Practice Registered Nurses) and 77 (Physician’s Assistant): Procedure Code 90846 Open for Billing
Dec 03, 20243492Attention All Providers: Change of Ownership Submission Reminder
Dec 02, 20243491Attention All Providers: Contract and License information Available Through Gabby
Nov 27, 20243490Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurses) and 74 (Nurse Midwife): Claims Paid Incorrectly Have Been Reprocessed to Pay Updated Rates
Nov 26, 20243489Error Codes 5612 and 5619 Updated for Current Procedural Terminology (CPT) Codes 92510–97761
Nov 21, 20243488Attention All Providers: Top Prior Authorization Denial Reasons for the Third Quarter of 2024
Nov 20, 20243487Attention Provider Type 93 (Substance Use Treatment): New Residential Substance Use Disorder (SUD) Bundled Rates for Level 3 Providers (Updated January 23, 2025)
Nov 20, 20243486Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and PT 93 (Substance Use Treatment): Medically Necessary Services Provided by Intensive Outpatient Program (IOP) and Partial Hospitalization Program (PHP) Providers
Nov 20, 20243485Attention Provider Type 33 (Durable Medical Equipment (DME), Disposable, Prosthetics): Modifiers RB, RR, and MS Updated
Nov 19, 20243484Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Nov 19, 20243483Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Error Codes 5649, 5690 and 5691 Updated
Nov 14, 20243482Attention All Providers: New Provider Enrollment Tool Phased Implementation(Updated January 28, 2025)
Nov 13, 20243481Attention Provider Type 14 (Behavioral Health Outpatient Treatment) Specialties 306 (Licensed Marriage and Family Therapist) and 307 (Licensed Clinical Professional Counselor): Error Code 2502 Updated
Nov 13, 20243480Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Update to Procedure Codes V2020 and V2750
Nov 13, 20243479Attention Provider Type 90 (Doula Services): Update to Error Code Applicable to Procedure Code S9445
Nov 12, 20243478Justice Involved Reentry Initiative: Eligible Provider Types (Updated December 20, 2024)
Nov 08, 20243477Insulin Pump Recall: Medtronic Notifies Users of MiniMed 600 and 700 Series Pumps of Risk of Shorter than Expected Battery Life
Nov 08, 20243476Attention Provider Type 64 (Hospice): Federal Fiscal Year (FFY) 2025 Annual Rate Update
Nov 06, 20243475Attention All Providers: Drug-Related Procedure Codes Open for Billing
Nov 05, 20243474Attention Provider Type 90 (Doula Services): Rate Increase Approved for Doula Services
Nov 05, 20243473Error Code 5051 Updated for Outpatient Claims
Nov 04, 20243472Drug Use Review (DUR) Board approves changes for Physician Administered Drugs (PAD)
Nov 01, 20243471Infusion Pump Recall: Zyno Medical Removes Certain Z-800, Z-800F, Z-800W, and Z800WF Infusion Pumps due to an Air-in-Line Software Defect That May Allow Larger than Expected Air Bubbles to Enter Patients
Oct 30, 20243470Attention Provider Type 43 (Laboratory, Pathology Clinical): Procedure Codes 81206 and 81207 Open for Billing
Oct 30, 20243469Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 2 Rate Updates Implemented
Oct 29, 20243468New Error Code for Hospital Discharge Procedure Codes 99238 and 99239
Oct 28, 20243467Multi-Factor Authentication Coming January 2025!
Oct 24, 20243466Attention All Providers: New Statewide Managed Care Presentation is Available
Oct 21, 20243465Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2024 Professional Claims
Oct 15, 20243464Attention Qualified Mental Health Professionals for Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 93 (Substance Use Treatment): New Group Linkage Options
Oct 15, 20243463Attention Provider Types 89 (Community Health Worker) and 90 (Doula): Prior Authorization (PA) Requests Can Now Be Submitted through the Electronic Verification System (EVS) Tool
Oct 15, 20243462Attention Provider Types 10 (Outpatient Surgery, Hospital Based), 12 (Hospital, Outpatient) and 46 (Ambulatory Surgical Centers, Freestanding): Clarification to Prior Authorization Requirements for Gender Dysphoria and Gender Incongruence Services
Oct 14, 20243461Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (palivizumab)
Oct 11, 20243460Medicaid Services Manual Chapter 4100 Updated
Oct 10, 20243459Attention All Providers, Delegates and Staff: Nevada Medicaid Services Unavailable Beginning October 18, 2024
Oct 10, 20243458Silver State Scripts Board (SSSB) Made Changes to the Preferred Drug List (PDL) Effective October 10, 2024
Oct 09, 20243457Attention All Providers: A New Provider Enrollment Solution is Coming Soon! (Updated February 4, 2025)
Oct 09, 20243456Reminder: Nevada Medicaid and Nevada Check Up Managed Care Organization (MCO) 2024 Open Enrollment
Oct 08, 20243455Attention All Providers, Delegates and Staff: Upcoming Training Sessions for November 2024 (Updated October 23, 2024)
Oct 03, 20243454Medicaid Services Manual Chapters Updated
Oct 01, 20243453Updates to Coverage and Reimbursement of COVID-19 Products
Sep 30, 20243452Attention Provider Type 93 (Substance Use Treatment): Enrollment Clarification for Alcohol and Drug Counselors with a Provisional Certificate License
Sep 30, 20243451Drug Use Review (DUR) Board approves changes for Physician Administered Drugs (PAD)
Sep 26, 2024Volume 21 Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2024 Provider Newsletter)
Sep 26, 20243450Changes made to Diabetic Supplies Preferred Product List effective September 26, 2024
Sep 24, 20243449Attention Provider Types 34 (Therapy) and 85 (Applied Behavior Analysis): Some Procedure Codes Billed with Place of Service Code 10 Now Deny With Error Code 679
Sep 23, 20243448Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2024 Professional Claims
Sep 20, 20243447Lung Therapy Component Recall: Baxter Healthcare Corporation Recalls Certain Volara System Single-Patient Use Circuits and Blue Ventilator Adapter Assemblies Due to Disconnection Risk That May Prevent Proper Ventilation
Sep 17, 20243446Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Procedure Code T2025 Modifiers are Replacing Procedure Code T2017 Modifiers When Billed with T2016
Sep 17, 20243445Medicaid Management Information System Updated with NCCI Quarter 4 2024 Files
Sep 17, 20243444Attention Provider Type 60 (School Health Services (SHS)): Claims for Procedure Code 92551 No Longer Deny with Error Code 5506
Sep 17, 20243443New Error Code Implemented for New Patient Codes Billed for the Same Recipient Within Three Years
Sep 16, 20243442Attention Provider Type 85 (Applied Behavior Analysis): Age Limit for Applied Behavior Analysis Services Removed
Sep 13, 20243441Attention Provider Type 12 (Hospital, Outpatient): Provider-Specific Rates Updated for Critical Access Hospitals (Updated October 3, 2024)
Sep 13, 20243440The Novavax COVID-19 Vaccine, Adjuvanted (2023-2024 Formula) is Excluded from Coverage
Sep 12, 20243439Attention All Providers, Delegates and Staff: Upcoming Training Sessions for October 2024
Sep 11, 20243438Attention Provider Type 63 (Residential Treatment Centers (RTC)): Reminder for Submitting Claims with Leave of Absence Days
Sep 11, 20243437Medicaid Services Manual Chapters Updated
Sep 11, 20243436Attention All Providers: Healthcare Common Procedure Coding System (HCPCS) Code Q5126 Open for Billing
Sep 10, 20243435Attention Provider Type 22 (Dentist): New Dental Procedure Codes Open for Billing for Intellectual and Development Disabilities (IDD) Recipients
Sep 10, 20243434Claims Impacted by National Correct Coding Initiative Quarter 4 2023 Replacement Files Have Been Reprocessed
Sep 10, 20243433New Error Code to be Implemented for New Patient Codes Billed for the Same Recipient Within Three Years
Sep 05, 20243432Attention Provider Type (PT) 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Center (CCBHC)): Two Claim Reprocessing Efforts
Sep 04, 20243431Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Prior Authorization No Longer Required for Procedure Code V2784
Sep 03, 20243430New Provider Type 87 (Crisis Services) Available for Enrollment
Sep 03, 20243429Attention All Providers: Claims for Evaluation & Management (E&M) Services with a Diagnosis Code Related to Surgical Procedures Will Deny
Aug 28, 20243428Attention Provider Types 11 (Inpatient) and 75 (Critical Access Hospital (CAH)): Hospital Presumptive Eligibility (HPE) Training Calendar Dates
Aug 28, 20243427Attention All Providers: Top Prior Authorization Denial Reasons for the Second Quarter of 2024
Aug 28, 20243426Attention Provider Type 60 (School Health Services (SHS)): Claims for Procedure Codes 92507, 92508 and 92526 No Longer Deny with Error Code 5537
Aug 26, 20243425Error Code 3030 Update for Physician Administered Drug (PAD) Claims: Claims Now Deny with Error Code 3031
Aug 26, 20243424Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for July 2024 Professional Claims
Aug 22, 20243423Autism Spectrum Disorder (ASD) Diagnosis Certification for Requesting Initial Applied Behavior Analysis (ABA) Services (Form FA-11F) Updated
Aug 20, 20243422Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Ownership or Interest Must be Disclosed when Enrolling
Aug 19, 20243421Attention All Providers: New Provider Expenditures Report
Aug 19, 20243420Attention All Providers: Professional and Institutional Claims That Paid in Error Have Been Reprocessed
Aug 16, 20243419Attention Provider Type 55 (Day and Residential Habilitation Services): Update Regarding Specialty 315 for Day Habilitation and Specialty 316 for Residential Habilitation
Aug 15, 20243418Attention All Providers, Delegates and Staff: Upcoming Training Sessions for September 2024
Aug 14, 20243417Attention Provider Type 91 (Pharmacist): Opioid Use Disorder (OUD) Procedure Codes
Aug 14, 20243416Attention Provider Types 10 (Outpatient Surgery, Hospital Based), 12 (Hospital, Outpatient) and 46 (Ambulatory Surgical Centers, Freestanding): Additional Coverage for Gender Dysphoria and Gender Incongruence
Aug 14, 20243415Reminder: Multi-Factor Authentication Coming Soon!
Aug 12, 20243414Attention Provider Type (PT) 20 (Physician, M.D., Osteopath, D.O.), PT 24 (Advanced Practice Registered Nurses) and 74 (Nurse Midwife): 5% Rate Increase Approved for PT 20 and Rate Parity for PT 24 and PT 74
Aug 08, 20243413Attention All Providers: Nevada Medicaid ChatBot
Aug 07, 20243412Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Rates for Dialysis Codes 90999 and 90945 Adjusted for 2024
Aug 07, 20243411Attention Provider Type 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 1 Rate Updates Implemented
Aug 06, 20243410Medicaid Services Manual Chapter 1200 Updated
Aug 06, 20243409Attention All Providers and Partners: Nevada Medicaid Creates Email List to Assist With Justice Involved Reentry Initiative
Aug 05, 20243408Drug Use Review (DUR) Board approves changes to Standard PDL Exception Criteria
Aug 05, 20243407Drug Use Review (DUR) Board approves changes for Physician Administered Drugs (PAD)
Aug 05, 20243406Drug Use Review (DUR) Board approves changes effective August 5, 2024
Aug 01, 20243405Attention Provider Type 60 (School Health Services): Claims for Procedure Code 92551 with Modifier 52
Aug 01, 20243404Attention All Providers: New Medical Equipment Searchable Spreadsheet and Trifold
Jul 30, 20243403Attention All Providers: Update to Physician-Administered Drug (PAD) Claims Pricing Process
Jul 23, 20243402Attention Provider Type (PT) 85 (Applied Behavior Analysis) Providers: Instructions for Claim Submission When ABA Services are Rendered in a Psychiatric Hospital (PT 13) or a Residential Treatment Center (PT 63)
Jul 19, 20243401Attention All Providers, Delegates and Staff: Upcoming Training Sessions for August 2024
Jul 19, 20243400Attention Provider Type (PT) 85 (Applied Behavioral Analysis) and PT 63 (Inpatient Psychiatric Residential Treatment Facility (PRTF)/Residential Treatment Center (RTC)): Addendum to Web Announcement 3380
Jul 17, 20243399Substance Use Treatment/Outpatient Behavioral Health Authorization Request (Form FA-11D) Updated
Jul 17, 20243398Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for June 2024 Professional Claims
Jul 16, 20243397Attention Provider Type 64 (Hospice): Rate Update Implemented for Revenue Code 0551
Jul 15, 20243396Children’s Cancer and Rare Diseases Clinic Specialty Implemented Under Nevada Medicaid Provider Type 20 (Physician, M.D., Osteopath, D.O.)
Jul 15, 20243395Medicaid Services Manual Chapters Updated
Jul 12, 202433942024 Annual New Code Update
Jul 12, 20243393Attention All Providers, Delegates, Staff and Credentialing Companies: Automated Revalidation Date Reminder Calls Will Assist in Avoiding Contract Termination
Jul 12, 20243392Please Notify and Regularly Remind Nevada Medicaid Recipients to Download and Use the NVMedicaid App
Jul 11, 20243391Attention Prescribers and Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): BiPAP V30, BiPAP A30, BiPAP A40 Ventilator Recall
Jul 11, 20243390Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Clinic): Annual Medicare Economic Index (MEI) Rate Adjustment Implemented
Jul 11, 20243389COVID-19 UNWIND: Claims for COVID-19 Administration and Vaccine Procedure Codes Reprocessed
Jul 05, 20243388Attention All Providers, Delegates, Staff, Credentialing Companies and Third-Party Billers: Tips for Using the Nevada Medicaid Call Center Interactive Voice Response System
Jul 05, 20243387Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective July 5, 2024
Jul 03, 20243386Important Update: Multi-Factor Authentication Coming Soon!
Jul 02, 20243385Nevada Medicaid and Nevada Check Up Managed Care Organization (MCO) 2024 Open Enrollment
Jul 01, 20243384Rate Review Surveys for Certain Provider Types and Services
Jul 01, 20243383Attention Provider Type (PT) 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM) and PT 93 (Substance Use Treatment): New PT 93 Specialties Available for Enrollment on July 1, 2024
Jun 28, 2024Volume 21 Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2024 Provider Newsletter)
Jun 28, 20243382Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for May 2024 Professional Claims
Jun 27, 20243381Medicaid Management Information System Updated with NCCI Quarter 3 2024 Files
Jun 26, 20243380Applied Behavioral Analysis Coverage in a Psychiatric Residential Treatment Facility/Residential Treatment Facility
Jun 25, 20243379Attention Provider Type 11 (Inpatient Hospital) and Provider Type 13 (Inpatient Psychiatric Hospital): Administrative Days Policy
Jun 24, 20243378Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): New Form for Recipient Attestation for Continuing Use of Speech Generating Device (SGD)/Augmentative Communication Device (ACD)
Jun 24, 20243377Update to Nevada Fee-For-Service Medicaid and Nevada Check Up NCPDP D.0 Payer Specifications
Jun 21, 20243376Physician-Administered Drug (PAD) Claims Denied With Error 909 Have Been Reprocessed
Jun 18, 20243375Attention All Providers, Delegates and Staff: Upcoming Training Sessions for July 2024
Jun 12, 20243374Reminders for Billing Outpatient Drugs for 340B-Covered Entities
Jun 10, 20243373Attention All Providers Billing Dental Services: 5% Rate Increase Approved for Dental Services
Jun 07, 20243372Attention Provider Type 60 (School Health Services): Update on Funding for School Services
Jun 05, 20243371Attention Provider Type (PT) 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Center (CCBHC)): Bill Procedure Code T1040 to Recipient’s Correct Benefit Plan
Jun 04, 20243370Nevada Medicaid Updates Reimbursement of Commercial NDC-Labeled Paxlovid®
Jun 03, 20243369Reminders for Providers Whose Nevada Medicaid Contracts Are Terminated for Failure to Revalidate
Jun 03, 20243368Nevada Medicaid Updates Reimbursement of COVID-19 Vaccines
May 29, 20243367Nevada Medicaid Updates Vaccine Administration Reimbursement (Updated May 30, 2024)
May 29, 20243366Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Default Rate for Burn Garment Procedure Codes
May 24, 20243365Attention All Providers: Inactive Providers May Be Subject to Termination
May 24, 20243364Attention Electronic Visit Verification (EVV) Providers: Units of Measure Rule Updated
May 23, 20243363Attention Provider Type (PT) 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM)): Upcoming Training Sessions in June 2024 for New PT 93 (Substance Use Treatment) (Updated June 14, 2024)
May 22, 20243362New Provider Type (PT) 93 (Substance Use Treatment (SUT)) Established to Replace PT 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM)) and Create New Specialties under PT 93
May 22, 20243361Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for April 2024 Professional Claims
May 22, 20243360Claims for Global Procedure Codes Billed With Modifier TC or Modifier 26
May 21, 20243359Attention Provider Type 25 (Optometrist): Update on Claims for Procedure Codes 92060, 92081, 92082 and 92083
May 21, 20243358Attention Provider Type 22 (Dentist): 5% Rate Increase Approved for Dental Services for Recipients on the Intellectual and Developmental Disabilities (ID) Waiver
May 21, 20243357Attention All Providers: Respiratory Syncytial Virus (RSV) Vaccine and Vaccine Administration Procedure Codes Have Been Opened for Certain Provider Types
May 20, 20243356Attention Provider Type 12 (Hospital, Outpatient): Update on Claims for Procedure Code 98940
May 20, 20243355Attention Inpatient Hospital and Nursing Facility Providers: Reminders for Submission of Pre-Admission Screening Resident Review (PASRR) and Level of Care (LOC) Requests
May 17, 20243354Attention All Providers, Delegates and Staff: Upcoming Training Sessions for June 2024 (Updated June 3, 2024)
May 13, 20243353Attention Provider Type 22 (Dentist): Claims for Recipients Under the Waiver for Individuals with Intellectual and Developmental Disabilities Benefit That Denied Have Been Reprocessed
May 13, 20243352Attention Provider Type 85 (Applied Behavior Analysis (ABA)): Professional Claims Paid in Error or Denied With Error Code 5716 Have Been Reprocessed
May 10, 20243351COVID-19 UNWIND: Recipient Redetermination Dates No Longer Available to Providers
May 09, 20243350Attention All Providers: Top Enrollment Return Reasons and Resolutions for January 2024 Submissions
May 07, 20243349Attention All Providers: Update Regarding Adjudication of Claims Submitted With Ordering, Prescribing or Referring (OPR) Provider
May 07, 20243348Limitations for Nebulizer Procedure Codes Updated in Medicaid Management Information System
May 03, 20243347Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2024 Quarter 4 Rate Updates Implemented
May 02, 20243346Urgent Announcement: Adjustment Claims Overpayments
May 02, 20243345Attention All Providers: Invitation to Participate in New Initiatives to Assist with Correctional Facility Transitions to Community Settings
May 01, 20243344Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Center (CCBHC): Update Regarding Claims Denied for Overlapping Dates of Service
May 01, 20243343Medicaid Management Information System Updated with NCCI Quarter 2 2024 Files
Apr 29, 20243342Claim Appeals Submission Deadline
Apr 25, 20243341Attention Provider Type 63 (Residential Treatment Center/Psychiatric Residential Treatment Facility): Notice of Transition to Federal Requirements for Psychiatric Residential Treatment Facilities (PRTFs)
Apr 23, 20243340Attention All Providers, Delegates and Staff: Upcoming Training Sessions for May 2024
Apr 23, 20243339Second Claim Reprocessing Effort for Physician-Administered Drug (PAD) Claims With Host Eligibility Error
Apr 23, 20243338Attention Billing Provider Type 20 (Physician, M.D., Osteopath, D.O.): Claims That Paid In Error Have Been Reprocessed
Apr 22, 20243337Wegovy (semaglutide) Coverage Updates Based on New FDA-Labeled Indication
Apr 18, 20243336Nevada Medicaid Proposes Transformation of Children’s Behavioral Health Care
Apr 17, 20243335Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2024 Professional Claims
Apr 16, 20243334Attention Provider Type 19 (Nursing Facility): Provider-Specific Rates Updated
Apr 16, 20243333Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): Update Regarding Claims Impacted by State Fiscal Year 2024 Quarter 3 Rates
Apr 15, 20243332URGENT UPDATE: Electronic Medical Claim Submission Has Resumed Through Optum Change Healthcare (CHC) Network
Apr 15, 20243331Attention Provider Type 64 (Hospice): Claims Reprocessed in Order Received by Nevada Medicaid
Apr 15, 20243330Provider Type 55 (Day and Residential Habilitation Services) Claims Reprocessed
Apr 11, 20243329Provider Type 29 Home Health Agency and Private Duty Nursing Services Billing Guide Updated
Apr 05, 20243328Medicaid Services Manual Chapters Updated
Apr 04, 20243327Attention Providers of Ocular Procedure Codes: Provider Type (PT) 20 (Physician, M.D., Osteopath, D.O.), PT 24 (Advanced Practice Registered Nurse), PT 25 (Optometrist), PT 41 (Optician, Optical Business) and PT 77 (Physician’s Assistant)
Apr 04, 20243326Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective April 4, 2024
Apr 03, 20243325Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for February 2024 Professional Claims
Apr 02, 20243324Centralized Credentialing Process
Apr 02, 20243323Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Rate Updates Per Senate Bill (SB) 504
Apr 02, 20243322Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Limitation Changes Implemented
Apr 01, 20243321COVID-19 UNWIND: Claims for Some COVID-19 Administration and Vaccine Procedure Codes Have Been Reprocessed
Apr 01, 20243320Drug Use Review (DUR) Board Approves Changes Effective April 1, 2024
Mar 29, 20243319Attention Personal Care Services (PCS) and PCS-Like Services Providers: Claims Have Been Reprocessed to Pay Updated Rates
Mar 29, 2024Volume 21 Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2024 Provider Newsletter)
Mar 27, 20243318Attention Provider Types (PTs) 12 (Hospital, Outpatient), 20 (Physician, M.D., Osteopath, D.O.) and 27 (Radiology and Non-invasive Diagnostic Centers): Radio-Pharmaceutical Code A9595 Open for Billing
Mar 26, 20243317Attention All Providers: Claims Denied With Error Code 4014 Have Been Reprocessed
Mar 26, 20243316Attention Provider Type 21 (Podiatrist): Rates Added for X-ray Exam Procedure Codes
Mar 22, 20243315Attention Applied Behavior Analysis Providers: Public Hearing Scheduled for March 26, 2024, on Proposed Changes to Medicaid Services Manual (MSM) Chapter 3700
Mar 22, 20243314Attention All Providers, Delegates and Staff: Upcoming Training Sessions for April 2024
Mar 20, 20243313URGENT NOTIFICATION Regarding Postponement of March 21, 2024, Personal Care Services Provider Listening Session
Mar 19, 20243312Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Wearable Cardioverter Defibrillator (WCD) Vest Covered Effective January 1, 2024
Mar 19, 20243311Attention All Providers: Update Regarding Claims for Procedure Code H0004 Impacted by Limitation Error Codes 5690 and 5691 (Updated May 9, 2024)
Mar 18, 20243310Attention All Fee-For-Service Providers: Nevada’s Medicaid Managed Care to Expand to Rural Communities
Mar 15, 20243309URGENT NOTIFICATION: Claim Submission Options During Optum Change Healthcare (CHC) Network Service Outage
Mar 14, 20243308URGENT UPDATE: “Medicaid and CHIP Renewals: What to Know and How to Prepare” Webinar Rescheduled for March 20, 2024
Mar 14, 20243307Medicaid Services Manual Chapters Updated
Mar 13, 20243306Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for 2024
Mar 13, 20243305Updates Regarding Telehealth for Behavioral Health Services
Mar 13, 20243304Medicaid Management Information System Updated with NCCI Quarter 1 2024 Files
Mar 12, 20243303Adult Day Health Care (ADHC) Professional and Professional Crossover Claims
Mar 12, 20243302Provider Type 85 (Applied Behavior Analysis) Claims Reprocessed
Mar 08, 20243301Attention Provider Types 30 (Personal Care Services - Provider Agency) and 83 (Personal Care Services - Intermediary Service Organization): Claims for Procedure Code T1019 Reprocessed
Mar 08, 20243300Attention Home and Community Based Waiver Providers for the Frail Elderly and for Persons with Physical Disabilities: Claims Reprocessed to Adjudicate With Updated Rates
Mar 08, 20243299URGENT NOTIFICATION for Personal Care Service Providers Regarding Electronic Visit Verification (EVV) Claims (Updated March 20, 2024)
Mar 06, 20243298Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Biomarker Testing Procedure Codes Update (Updated May 8, 2024)
Mar 05, 20243297Indian Health Program Rates Adjusted for Calendar Year 2024
Mar 05, 20243296Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Error Code 5042 Updated
Mar 04, 20243295Attention Provider Type 22 (Dentist): Resources Regarding Human Papillomavirus (HPV) Vaccinations for Children
Mar 01, 20243294URGENT NOTIFICATION for Electronic Visit Verification (EVV) Providers: Temporary Claims Submission Option Now Available
Feb 29, 20243293Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2024 Professional Claims
Feb 29, 20243292Attention Provider Type 11 (Hospital, Inpatient): Claims for Newborn Admission Revenue Codes 170, 171 and 172 That Paid in Error Have Been Reprocessed
Feb 28, 20243291Claims for Vaccine Procedure Codes That Denied in Error Have Been Reprocessed
Feb 28, 20243290Updates to Coverage and Limitations for Obstetric Admissions and Elective/Non-Medically Necessary Cesarean Sections
Feb 27, 20243289Attention Provider Types 12 (Hospital, Outpatient) and 27 (Radiology and Non-invasive Diagnostic Centers): Electrophysiological Procedure Codes Opened for Billing
Feb 27, 20243288Rate Updates Implemented for Home and Community Based Waiver for the Frail Elderly Services
Feb 26, 20243287Attention Behavioral Health Outpatient and Rehabilitative Treatment Providers: Active Peer Recovery Support Specialist (PRSS) Certification Required for Nevada Medicaid Enrollment, Re-enrollment or Revalidation
Feb 23, 20243286Attention All Providers, Delegates and Staff: Upcoming Training Sessions for March 2024 (Updated February 28, 2024)
Feb 22, 20243285Attention Provider Type 19 (Nursing Facility): Clarification of Managed Care Organization Responsibility for the First 180 Days
Feb 22, 20243284Medicaid Services Manual Chapters Updated
Feb 21, 20243283Claims for Add-On Procedure Code 99417 (Prolonged Outpatient Evaluation and Management Service(s))
Feb 21, 20243282New Email Notification Added to Secure Correspondence Tool
Feb 16, 20243281Attention Provider Type 63 (Residential Treatment Center/Psychiatric Residential Treatment Facility): Initial Prior Authorization Requests for Youth
Feb 16, 20243280Attention All Providers: Top Prior Authorization Denial Reasons for the Fourth Quarter of 2023
Feb 15, 20243279COVID-19 UNWIND: Attention All Providers and Community Partners: Free Medicaid Resources to Assist Recipients
Feb 15, 202432782024 Annual New Code Update
Feb 14, 20243277Enrollment Begins for Certified Community Behavioral Health Centers (CCBHCs) Statewide
Feb 07, 20243276Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Catheter Procedure Codes Limitation
Feb 06, 20243275Attention Provider Type 29 (Home Health Agency and Private Duty Nursing Services): 15 Percent Rate Increase Effective January 1, 2024
Feb 05, 20243274Drug Use Review (DUR) Board Approves Changes Effective February 5, 2024
Feb 05, 20243273Updates Made to Prior Authorization Policy of Continuous Glucose Monitors (CGMs)
Feb 02, 20243272Attention All Providers: New Call Center Virtual Hold/Callback Option
Feb 01, 20243271Urgent Announcement: Professional Crossover Claims Reprocessing Effort Has Been Cancelled
Jan 30, 20243270Rate Increases for Personal Care Services (PCS) and PCS-Like Services (Updated February 12, 2024)
Jan 29, 20243269Professional and Professional Crossover Claims With Duplicate Details on History and Current Claims That Paid in Error Have Been Reprocessed
Jan 29, 20243268Outpatient and Professional Claims Billed With Modifier 51 Reprocessed
Jan 25, 20243267Prior Authorization Requirements for Laboratory Services Used for Biomarker Testing
Jan 25, 20243266Attention All Providers, Delegates and Staff: Upcoming Training Sessions for February 2024
Jan 23, 20243265Attention Marriage and Family Therapists (MFT) and Mental Health Counselors (MHC) Delivering Services to Dual Eligible Recipients and Behavioral Health Providers Delivering Intensive Outpatient Programs (IOP) to Dual Eligible Recipients
Jan 23, 20243264Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2024 Quarter 3 Rate Updates Implemented
Jan 23, 20243263Attention Provider Types 60 (School Health Services (SHS)) and 85 (Applied Behavior Analysis (ABA)): Rate Updates for Some Applied Behavior Analysis Services. (Updated February 5, 2024)
Jan 18, 20243262Recipient Eligibility for Postpartum Care Services
Jan 11, 20243261Crossover Claims That Had Negative Payment Amounts from Medicare Have Been Reprocessed
Jan 10, 20243260Attention Provider Types 10 (Outpatient Surgery, Hospital Based) and 46 (Ambulatory Surgical Centers): Anesthesia Procedure Codes 01937-01942 Cannot Be Billed
Jan 09, 20243259Claims for Mammography Procedure Codes 77063 and 77067 Submitted With Modifiers TC or 26 That Denied In Error Have Been Reprocessed
Jan 08, 20243258Attention Federally Qualified Health Centers (FQHC) Billing Encounter Codes Under Fee-For-Service (FFS) Medicaid
Jan 05, 20243257Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Claims for Procedure Code 77063 With Modifier TC May Have Denied With Error Code 4014
Jan 05, 20243256Updates to Coverage and Limitations for Obstetric Admissions (Updated January 22, 2024)
Jan 05, 20243255Medicaid Services Manual Chapters Updated
Jan 03, 20243254Attention Provider Types 30 (Personal Care Services - Provider Agency) and 83 (Personal Care Services - Intermediary Service Organization): Authorization Request for Personal Care Services (PCS) Form FA-24 and Instructions Updated
Jan 03, 202432531099-Misc. Forms for 2023 Tax Year to be Mailed to Providers by January 31, 2024
Jan 02, 20243252Drug Use Review (DUR) Board Approves Changes for Physician Administered Drugs (PAD)
Jan 02, 20243251Drug Use Review (DUR) Board Approves Changes Effective January 2, 2024
Dec 28, 2023Volume 20 Issue 4COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2023 Provider Newsletter)
Dec 28, 20233250Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective December 28, 2023
Dec 26, 20233249Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2023 Professional Claims
Dec 21, 20233248COVID-19 UNWIND: Recipient Nevada Medicaid Disenrollments and Procedural Denials to Restart Effective January 1, 2024
Dec 21, 20233247URGENT ANNOUNCEMENT: Professional Crossover Claims Reprocessing Effort on Hold
Dec 20, 20233246Error Codes 5620, 5633 and 5681 Updated for Crossover Claim Types
Dec 20, 20233245Attention Behavioral Health Providers: Service Limitations for Outpatient Psychotherapy Reset January 1 of Each Year
Dec 20, 20233244False Claims Act Initial Certification or Recertification Letters (Updated January 16, 2024)
Dec 19, 20233243Attention Provider Type 64 (Hospice): Federal Fiscal Year (FFY) 2024 Annual Rates Update
Dec 18, 20233242Updated American Dental Association (ADA) Dental Claim Form to be Released January 1, 2024
Dec 18, 20233241COVID-19 UNWIND: COVID-19 Administration and Vaccine Procedure Code Emergency Use Authorization and Revocation Updates
Dec 18, 202332402024 Annual New Code Update
Dec 15, 20233239Attention Provider Type 19 (Nursing Facilities): Medicaid Estate Recovery Changes Effective January 1, 2024
Dec 14, 20233238Attention All Providers, Delegates and Staff: Upcoming Training Sessions for January 2024
Dec 14, 20233237Claims for Vaccine Procedure Codes That Require a National Drug Code
Dec 12, 20233236Indian Health Program Claims That Paid Incorrect Rate Have Been Reprocessed
Dec 12, 20233235Professional and Institutional Crossover Claims Denied With Error Code 6125 Have Been Reprocessed
Dec 11, 20233234Attention Pre-Admission Screening Resident Review (PASRR) Portal Users: System Upgrades Will Help Providers Monitor Status of Tickets
Dec 11, 20233233Error Codes 5599 and 5632 Updated for Crossover Claim Types
Dec 08, 20233232Reimbursement for Family Caregivers of Medicaid Recipients with Medically Complex Conditions (Updated January 2, 2024)
Dec 04, 20233231Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Procedure Code 64999 Denied In Error With Error Code 4014
Dec 04, 20233230Applied Behavior Analysis (ABA) Authorization Reconsideration Timeline Update
Dec 01, 202332291099-Misc. Forms for 2023 Tax Year to be Mailed to Providers by January 31, 2024; Providers May Sign Up to Download Electronic 1099s
Dec 01, 20233228Private Hospital Inpatient and Outpatient Services Assessment Rates
Nov 30, 20233227Attention All Providers: Top Prior Authorization Denial Reasons for the Third Quarter of 2023
Nov 28, 20233226Attention Provider Type 48 (Home and Community Based Waiver for the Frail Elderly): Error Code 5041 Updated to Apply Only to Procedure Code S5120
Nov 27, 20233225Certified Community Behavioral Health Center (CCBHC) Standards Training for Prospective Medicaid Enrollment Scheduled for November 30, 2023
Nov 22, 20233224Error Codes 5631, 5645, 5646 and 6112 Updated for Crossover Claim Types
Nov 22, 20233223Attention Provider Type 60 (School Health Services): Audiology Procedure Codes Open for Billing
Nov 22, 20233222Physician-Administered Drug (PAD) Claims With Host Eligibility Error Have Been Reprocessed
Nov 21, 20233221Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for October 2023 Professional Claims
Nov 20, 20233220Notice of Revised Carrier Premium Reduction Targets for Plans Established in NRS 695K
Nov 20, 20233219Online Provider Enrollment (OPE) Updated to Allow More Than One License/Certification Number
Nov 20, 20233218Attention All Providers: Claims for Procedure Code H0004 Impacted by Limitation Error Codes 5690 and 5691
Nov 17, 20233217Attention All Nevada Medicaid Providers: New Provider Training Registration Portal Will Implement in January 2024
Nov 14, 20233216Patient Responsibility Adjudicated Incorrectly on Professional Crossover Claims
Nov 09, 20233215Error Code 6140 Updated for Outpatient Claim Types
Nov 08, 20233214Error Codes 5617, 6114, 6117 and 6511 Updated for Crossover Claim Types
Nov 07, 20233213Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2024 Quarter 2 Rate Updates Implemented
Nov 07, 20233212COVID-19 UNWIND: Dental Providers No Longer Allowed to Administer COVID-19 Vaccines
Nov 06, 20233211Attention Provider Types 13 (Psychiatric Hospital, Inpatient), 11 (Hospital, Inpatient) and 63 (Residential Treatment Center/Psychiatric Residential Treatment Facility): Prior Authorization Forms Updated
Nov 06, 20233210Updates Regarding National Correct Coding Initiative (NCCI) Quarter 4 2023 Files
Nov 03, 20233209Error Code 3030 Update for Physician Administered Drug (PAD) Claims
Nov 03, 20233208Attention Provider Types 20 (Physician, M.D. Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Primary and Add-on Procedure Codes for Lenses
Nov 03, 20233207Prescription Discount Cards
Nov 02, 20233206COVID-19 UNWIND: Claims Denied Due to Recipient Ineligibility Have Been Reprocessed
Nov 01, 20233205Error Codes 5595 and 5601 Updated for Outpatient Claim Types
Nov 01, 20233204Error Codes 5595, 5697, 5698, 5714, 6125, 6127 and 6131 Updated for Crossover Claim Types (Updated November 17, 2023)
Nov 01, 20233203Attention Provider Type 64 (Hospice): Claims With Revenue Code 0650 That Paid In Error Have Been Reprocessed
Oct 31, 20233202Attention Provider Type 22 (Dentist): Service Limitations Updated for Alveoloplasty Procedure Codes
Oct 30, 20233201Prior Authorization Process for Zolgensma® (onasemnogene abeparvovec-xioi)
Oct 26, 20233200Error Code 5621 Updated for Outpatient Claim Types
Oct 26, 20233199Error Code 5640 Updated for Crossover Claim Types
Oct 24, 20233198Electronic Visit Verification (EVV) Informational Seminar Series
Oct 24, 20233197Attention Provider Types 20 (Physician, M.D. Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Error Codes Applicable to Procedure Code V2745
Oct 24, 20233196Attention Provider Type 74 (Nurse Midwife): Procedure Code 59020 May Be Billed With Modifiers 26 and TC
Oct 23, 20233195Error Codes 6120, 6501 and 6510 Updated for Crossover Claim Types
Oct 20, 20233194Attention All Providers, Delegates and Staff: Upcoming Training Sessions for November 2023
Oct 19, 20233193Reminder Regarding Services Provided Through School Health Services (Provider Type 60)
Oct 17, 20233192Update Regarding Provider Type 55 (Day and Residential Habilitation Services): Specialty 315 for Day Habilitation and Specialty 316 for Residential Habilitation Are Now Available for Enrollment
Oct 17, 20233191Attention Provider Types 20 (Physician, M.D. Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Claims for Procedure Code V2020 Reprocessed
Oct 16, 20233190Attention Personal Care Services Providers: Functional Assessment Service Plan (FASP) May Be Accessed, Downloaded and Printed
Oct 16, 20233189Physician-Administered Drug (PAD) Claims Reprocessing Effort
Oct 13, 20233188Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2023 Professional Claims
Oct 12, 20233187Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective October 12, 2023
Oct 11, 20233186Action Required by November 30, 2023: Urgent Update Regarding Changes to Electronic Visit Verification (EVV) Billing Process
Oct 11, 20233185Error Codes 5685 and 6104 Updated for Crossover Claim Types
Oct 09, 20233184COVID-19 UNWIND: URGENT Announcement for All Providers: Updated Billing Instructions Regarding Medicaid Recipient Reinstatement
Oct 06, 20233183Error Codes Applicable to Shoe-Related Procedure Codes A5500, A5501 and L3332 Have Been Updated
Oct 06, 20233182Attention Provider Type 12 (Hospital, Outpatient): Error Code 5674 Applicable to Procedure Code A4410 When Limitation Is Exceeded
Oct 04, 20233181Medicaid Management Information System Updated with NCCI Quarter 4 2023 Files
Oct 04, 20233180Prior Authorization Requirement Updated for Transplant and Infusion/Chemotherapy Procedure Codes
Oct 03, 20233179COVID-19 UNWIND: Emergency Use Authorization Revoked for Janssen Vaccine Procedure Codes
Oct 03, 20233178Prior Authorization Requirements Removed for Hernia Procedure Codes
Oct 02, 20233177Professional Crossover Claims Denied with Error Code 1008 Have Been Reprocessed
Oct 02, 2023Volume 20 Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2023 Provider Newsletter)
Sep 29, 20233176Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (palivizumab)
Sep 27, 20233175Attention Provider Type 19 (Nursing Facility): Clarification of Managed Care Organization Responsibility for the First 180 Days of Nursing Facility Level of Care
Sep 27, 20233174The Bivalent Moderna and Pfizer-BioNTech COVID-19 Vaccines Are Excluded From Coverage
Sep 26, 20233173Attention All Providers, Delegates and Staff: Upcoming Training Sessions for October 2023
Sep 26, 20233172Error Codes 5635, 5636, 5637 and 5654 No Longer Apply to Crossover Claim Types
Sep 21, 20233171Attention Provider Type 86 (Specialized Foster Care): Modifier U8 Is No Longer Required on Initial Claims
Sep 21, 20233170Other Health Coverage (OHC) Non-covered Services Billing Instructions
Sep 20, 20233169New Error Code Based on Ordering, Providing and Referring (OPR) Provider’s Nevada Medicaid Enrollment
Sep 20, 20233168Error Codes 5613 and 5634 No Longer Apply to Crossover Claim Types
Sep 19, 20233167Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2024 Quarter 1 Rate Updates Implemented
Sep 18, 20233166Medicaid Services Manual Chapters and Medicaid Operations Manual Chapters Updated
Sep 15, 20233165COVID-19 UNWIND: URGENT Announcement for All Providers: Medicaid Member Reinstatement (Updated October 9, 2023)
Sep 15, 20233164Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2023 Professional Claims
Sep 14, 20233163Reminder: Deadline for Current Rate Review Surveys for Certain Provider Types and Services Is September 29, 2023
Sep 13, 20233162Claims for COVID-19 Vaccine Administration Codes Have Been Reprocessed
Sep 13, 20233161Error Codes 5594, 5597 and 5611 No Longer Apply to Crossover Claim Types
Sep 11, 20233160Attention Provider Type 38 (Home and Community Based Services Waiver for Individuals with Intellectual and Developmental Disabilities): Rate Updates Implemented
Sep 07, 20233159Error Code 5592 No Longer Applies to Crossover Claim Types
Sep 05, 202331582023 Annual New Code Update: Claims for Some Procedure Codes Have Been Reprocessed
Sep 01, 20233157Attention Provider Type 54 (Targeted Case Management) Providers: Medicaid Services Manual Chapter 2500 and State Plan Supplement 1 to Attachment 3.1-A Updated
Sep 01, 20233156Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Aug 30, 20233155Error Codes 5649 and 6507 No Longer Apply to Crossover Claim Types
Aug 29, 20233154COVID-19 UNWIND: Emergency Use Authorization Revoked for Monoclonal Antibody and Injection Procedure Codes
Aug 28, 20233153Attention Provider Type 22 (Dentist): Every Smile Matters Nevada Project Includes Workshop and Survey
Aug 28, 20233152Attention Provider Type 22 (Dentist): Claims for Prophylaxis, Crown, Gingivectomy and Alveoloplasty Reprocessed
Aug 25, 20233151Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for July 2023 Professional Claims
Aug 24, 20233150Attention Behavioral Health Providers: Procedure Code H2017 Limitations
Aug 23, 20233149Attention Provider Type 22 (Dentist): Claims for Some Dental Procedure Codes Reprocessed
Aug 22, 20233148Attention All Providers: Sign Up for Electronic 1099s
Aug 22, 20233147Treatment History Search Function Expanded to Include Behavioral Health Provider Types
Aug 21, 20233146Attention Provider Types 60 (School Health Services) and 85 (Applied Behavior Analysis (ABA)): Update on ABA Procedure Codes 97154, 97157, 97158
Aug 15, 20233145Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): Duplicate Inpatient Hospice Claims Reprocessed
Aug 10, 20233144Attention All Providers: Invitation to Participate in Focus Groups Regarding Services for Nevada’s Aged, Blind and Disabled
Aug 10, 20233143Claims Denied With Error Codes 4221 or 4223
Aug 09, 20233142Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.) and 24 (Advanced Practice Registered Nurses): Claims for Procedure Codes G0433 and G0443 Reprocessed
Aug 07, 20233141Attention Provider Type 63 (Residential Treatment Center): Reminder to Submit Claims to Managed Care Organizations
Aug 04, 20233140Attention Provider Type 19 (Nursing Facility): Submission of Nursing Facility Tracking Requests for DISCHARGES
Aug 04, 20233139Attention All Providers, Delegates and Staff: Upcoming Training Sessions for September 2023
Aug 03, 20233138Attention All Providers: Top Prior Authorization Denial Reasons for the Second Quarter of 2023
Aug 01, 20233137Attention Provider Type 17 (Special Clinics) Specialty 166 (Family Planning): Update Regarding Procedure Code 99070 (Supplies and Materials Provided by Physician)
Aug 01, 20233136Service Limitation for Mammography Procedure Codes 77063 and 77067 Is Once Per Year Per Recipient
Aug 01, 20233135Attention Provider Type 38 (Home and Community Based Services Waiver for Individuals with Intellectual and Developmental Disabilities): Claims for Procedure Code S5190 Rendered by Specialty 215 (Counseling Service)
Jul 31, 20233134Rate Review Surveys for Certain Provider Types and Services
Jul 26, 20233133The Monovalent Moderna and Pfizer-BioNTech COVID-19 Vaccines Are Excluded From Coverage
Jul 26, 20233132Medicaid Services Manual Chapters Updated
Jul 24, 20233131Attention Provider Type 13 (Psychiatric Hospital, Inpatient): 1115 Institution for Mental Disease (IMD) Substance Use Disorder (SUD) Demonstration Waiver
Jul 24, 20233130Attention All Providers, Delegates and Staff: Upcoming Training Sessions for August 2023
Jul 21, 20233129Electronic Funds Transfer Requirements for Individuals Linking to a Group
Jul 21, 20233128Attention Provider Type 12 (Hospital, Outpatient): Error Code 5515 Updated to Apply to Procedure Codes 84484 and 92516
Jul 21, 20233127COVID-19 UNWIND: COVID-19 General Billing Guide Updated
Jul 20, 20233126Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for June 2023 Professional Claims
Jul 19, 20233125Attention Provider Types 28 (Pharmacy) and 91 (Pharmacist): Pharmacists Can Now Bill Medicaid and Provide New Services
Jul 18, 20233124COVID-19 UNWIND: Attention Qualified Mental Health Associate (QMHA) and Qualified Behavioral Aide (QBA) Applicants: Clarification on Enrollment Requirements for Cardiopulmonary Resuscitation (CPR) Certification for Initial Competency Training
Jul 18, 20233123Medicaid Management Information System Updated with NCCI Quarter 3 2023 Files
Jul 14, 20233122Billing Reminder Regarding Specialty Physician Administered Drugs
Jul 14, 20233121Attention All Providers, Delegates, Staff, Credentialing Companies and Third-Party Billers: Feedback Requested Regarding the Gabby™ Interactive Voice Response (IVR) System
Jul 13, 20233120Error Code 5068 Updated for Crossover Claim Types
Jul 12, 20233119Urgent Updates Regarding Electronic Visit Verification (EVV) Providers and System Vendor
Jul 11, 2023Volume 20 Issue 2COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (Second Quarter 2023 Provider Newsletter)
Jul 11, 20233118COVID-19 UNWIND: Reminder to Use Procedure Codes G0314 and G0315 for COVID-19 or Early and Periodic Screening, Diagnosis & Treatment Vaccine Counseling
Jul 10, 20233117Attention Provider Types 63 (Residential Treatment Centers) and 68 (Intermediate Care Facilities for Individuals with Intellectual Disabilities/Private): Inpatient Claims Denied with Error Code 3009 Have Been Reprocessed
Jul 10, 20233116Attention Provider Types 64 (Hospice) and 65 (Hospice, Long Term Care): Claims Denied With Error Code 5029 Have Been Reprocessed
Jul 07, 20233115Public Workshop Scheduled July 17, 2023, Regarding Needs Assessment for Nevada’s Aged, Blind and Disabled (ABD) Population
Jul 07, 20233114Attention Provider Type 63 (Residential Treatment Center (RTC)/Psychiatric Residential Treatment Facility (PRTF)): Reminder Regarding Therapeutic Home Pass Policy Requirements
Jul 06, 20233113Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective July 6, 2023
Jul 06, 20233112Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse), 74 (Nurse Midwife) and 77 (Physician Assistant): Removal of DEA X-Waiver for Prescribing Buprenorphine
Jul 06, 20233111Error Code 5589 No Longer Applies to Crossover Claim Types
Jul 03, 20233110COVID-19 UNWIND: COVID-19 Services for Uninsured Individuals
Jul 03, 20233109Drug Use Review (DUR) Board Approves Changes Effective July 3, 2023
Jun 30, 20233108Drug Use Review (DUR) Board Approves Changes for Physician Administered Drugs (PAD)
Jun 30, 20233107Medicaid Services Manual Chapters Updated
Jun 29, 20233106COVID-19 UNWIND: How Hospitals Can Help Patients Who Are Disenrolled from Medicaid
Jun 29, 20233105Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Error Codes 5581 and 5596 Updated
Jun 28, 20233104COVID-19 Vaccine Incentive Fee Increase Effective January 1, 2023
Jun 27, 20233103Nevada Medicaid and Nevada Check Up Managed Care Organization (MCO) 2023 Open Enrollment
Jun 27, 20233102Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for May 2023 Professional Claims
Jun 23, 20233101Attention All Providers, Delegates and Staff: Upcoming Training Sessions for July 2023
Jun 23, 20233100Provider Type 55 (Day and Residential Habilitation Services) Separated into Two Specialties: Specialty 315 for Day Habilitation and Specialty 316 for Residential Habilitation (Updated September 29, 2023)
Jun 22, 20233099Attention Provider Type 48 (Home and Community Based Waiver for the Frail Elderly): Day Care Services Procedure Codes S5100 and S5102 Cannot Be Billed With Same Date of Service
Jun 21, 20233098Inpatient Claim Denials for Revenue Code on Prior Authorization Not Matching Revenue Code on the Claim
Jun 20, 20233097Attention All Providers: Guidance Regarding Group and Individual Provider Enrollment
Jun 20, 20233096Availability of the “Revalidate Provider” Link to Start Revalidation Application
Jun 20, 20233095Attention Provider Type 60 (School Health Services): Speech Pathology and Vision Procedure Codes Not Payable
Jun 20, 20233094Attention Inpatient Hospitals: Claims for Newborn Admission Revenue Codes 170, 171 and 172 That Denied Have Been Reprocessed
Jun 12, 20233093Professional Crossover Claims to Deny Correctly With Error Code 1008
Jun 08, 20233092Error Codes 5564, 5586, 5600 and 5626 Updated for Crossover Claim Types
Jun 06, 20233091Attention Dental Medicaid Service Providers, Schools, Health Centers and Clinics: Funding Available for Delivery of Dental Sealants and Fluoride Varnish
Jun 06, 20233090Expansion of Medicaid Coverage to Lawfully Residing Non-Citizen Pregnant Individuals
Jun 06, 20233089Attention Provider Types (PTs) 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Outpatient Crossover Claims Submitted in 2021 for Dialysis Codes 90945 and 90999 Reprocessed
Jun 06, 20233088Hysterectomy Procedure Codes Opened for Outpatient Surgery Provider Types
Jun 02, 20233087Urgent Announcement Regarding Claims Suspending for Budget Relief
Jun 02, 20233086COVID-19 UNWIND: COVID-19 General Billing Guide Updated
Jun 01, 20233085Providers May Update Demographic Information Using Electronic Verification System (EVS) Starting June 20, 2023
Jun 01, 20233084Attention Provider Type 60 (School Health Services): Modifiers Will Be Required When Billing Applied Behavior Analysis Services Procedure Codes
May 25, 20233083Attention All Providers, Delegates and Staff: Upcoming Training Sessions for June 2023
May 22, 202330822023 Annual New Code Update: Rates Have Been Entered and Suspended Claims Have Been Released
May 22, 20233081Attention All Providers: Information Regarding Claims Denying for Medicare Coinsurance Greater Than Medicare Paid Amount
May 19, 20233080Attention All Providers, Delegates, Staff, Credentialing Companies and Third-Party Billers: New Call Center Interactive Voice Response System Now Answering Providers Questions
May 19, 20233079Error Code 5054 Updated for Crossover Claim Types
May 18, 20233078Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for April 2023 Professional Claims
May 16, 20233077Attention Freestanding Birthing Centers and Professional Practitioners Billing Procedure Code 59409 (Vaginal Delivery) (Updated September 18, 2023)
May 16, 20233076Attention All Providers: New Process to Identify Recipients Participating in a Clinical Trial
May 15, 20233075Indian Health Program Rates Adjusted for Calendar Year 2023 (Updated December 13, 2023)
May 15, 20233074Attention All Providers: Top Prior Authorization Denial Reasons for the First Quarter of 2023
May 11, 20233073Attention Home and Community Based Services (HCBS) Providers: Rate Survey Opens and Survey Training Sessions Scheduled
May 11, 20233072COVID-19 UNWIND: End of the COVID-19 Public Health Emergency Impacts Provider Enrollment Flexibilities
May 10, 20233071Attention Provider Type 60 (School Health Services): Modifiers Will Be Required When Billing Applied Behavior Analysis Services Procedure Codes
May 09, 20233070COVID-19 UNWIND: Two Services No Longer Permitted Using Telehealth Effective May 12, 2023
May 08, 20233069Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2023 Quarter 4 Rate Updates Implemented
May 05, 20233068COVID-19 UNWIND: Authorization for Monovalent COVID-19 Vaccine Procedure Codes Revoked (Updated August 11, 2023)
May 04, 20233067COVID-19 UNWIND: COVID-19 Prior Authorization Requirements Changing
May 02, 20233066COVID-19 UNWIND: COVID-19 Billing Guide Updated
May 01, 20233065Attention Provider Type 25 (Optometrist): Procedure Code 76514 Open for Billing
May 01, 20233064Drug Use Review (DUR) Board Approves Changes Effective May 1, 2023
May 01, 20233063Institutional Claims With Type of Bill Ending in 8
Apr 28, 20233062Changes Made to Diabetic Supplies Preferred Product List Effective April 27, 2023
Apr 27, 20233061Claims Denied with Error Code 5005 Have Been Reprocessed
Apr 27, 20233060Attention All Providers, Delegates, Staff, Credentialing Companies and Third-Party Billers: New Call Center Interactive Voice Response System Is Now Live
Apr 27, 20233059Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective April 27, 2023
Apr 25, 20233058Error Code 5051 Updated for Crossover Claim Types
Apr 24, 20233057Expired Provider Enrollment Applications, Change Requests and Revalidations Reminder
Apr 24, 20233056Attention Provider Type 55 (Day and Residential Habilitation Services): Limitations When Billing Procedure Codes T2017 and T2020 on Same Date of Service
Apr 21, 20233055Attention All Providers, Delegates and Staff: Upcoming Training Sessions for May 2023
Apr 18, 20233054Medicaid Services Manual Chapter 1200 Updated
Apr 17, 20233053Attention Provider Types 64 (Hospice) and 65 (Hospice, Long Term Care): Update Regarding Error Code for Outpatient and Inpatient Hospice Claims Submitted With Same Date of Service
Apr 17, 20233052Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Claims for Dialysis Codes 90945 and 90999 Reprocessed
Apr 14, 20233051Attention All Providers, Delegates, Staff, Credentialing Companies and Third-Party Billers: New Interactive Voice Response Will Enhance Call Center Experience
Apr 12, 20233050Error Codes 5045 and 5047 Updated for Crossover Claim Types (Updated May 12, 2023)
Apr 11, 20233049COVID-19 UNWIND: Certain 1135 Flexibilities to Expire When Public Health Emergency Expires on May 11, 2023
Apr 07, 20233048Attention Provider Type 17, Specialty 181 (Federally Qualified Health Centers (FQHC)): Community Health Worker Rendering Services in FQHC Setting
Apr 06, 20233047Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective April 6, 2023
Apr 05, 20233046Attention All Providers, Delegates, Staff, Credentialing Companies and Third-Party Billers: New Verbal Interactive Customer Service Center Experience Coming Soon
Apr 04, 20233045COVID-19 UNWIND: Recipient Redetermination Date Added to Electronic Verification System (EVS) Eligibility Verification Screen
Apr 04, 20233044Error Code 5039 Updated for Crossover Claim Types
Apr 03, 20233043Procedure Code 99215 Limitations and Prior Authorization Requirements
Mar 31, 2023Volume 20 Issue 1COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (First Quarter 2023 Provider Newsletter)
Mar 30, 20233042Reminder for Providers Who May Diagnose Autism Spectrum Disorder (Updated April 21, 2023)
Mar 30, 20233041Nevada Medicaid Fee-for-Service to Implement New Program for Prior Authorization Management of Physician Administered Drugs
Mar 29, 20233040Error Codes 5033, 5035, 5036, 5037 and 5038 Updated for Crossover Claim Types
Mar 28, 20233039Attention Provider Type 47 (Indian Health Services (IHS) and Tribal Clinics): Children's Health Insurance Program (CHIP) Claims Reprocessed
Mar 27, 20233038Attention Provider Type 22 (Dental): Updated Details Regarding Certain Dental Benefits Available for Individuals Ages 21 and Older on the Intellectual and Developmental Disabilities Waiver
Mar 23, 20233037Attention All Providers, Delegates and Staff: Upcoming Training Sessions for April 2023
Mar 22, 20233036COVID-19 UNWIND: COVID-19 Diagnostic and Serology Laboratory Testing Procedure Codes Reimbursement Rate
Mar 21, 20233035New Medicare Cost-Sharing Provider Type
Mar 20, 20233034Attention Provider Type 22 (Dental): Certain Dental Benefits Available for Individuals Ages 21 and Older on the Intellectual and Developmental Disabilities Waiver
Mar 20, 20233033Error Codes 5021, 5022, 5023 and 5024 Updated for Crossover Claim Types
Mar 15, 20233032Attention Providers Billing Occupational Therapy or Physical Therapy Services: Use Appropriate Modifiers on Claims When Therapy Assistant Renders Services
Mar 15, 20233031Error Codes 5018, 5019 and 5020 Updated for Crossover Claim Types
Mar 14, 20233030Nevada Medicaid Is Creating New Medicare Cost-Sharing Provider Type
Mar 10, 20233029Attention Provider Types 24 (Advanced Practice Registered Nurses) and 74 (Nurse Midwife): Update Regarding Rates per the Nevada State Plan
Mar 08, 20233028Medicaid Services Manual Chapters Updated
Mar 07, 20233027Error Codes 5010, 5011 and 5013 Updated for Crossover Claim Types
Mar 06, 20233026All Providers Invited to Take Provider Training Survey
Mar 06, 20233025Physician-Administered Drug (PAD) Claims That Denied with Explanation of Benefits Code 8684 Reprocessed
Mar 06, 20233024Claims Submitted by Certain Provider Types for COVID-19 Vaccine and Administration Codes That Denied Have Been Reprocessed
Mar 02, 20233023Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2023 Professional Claims
Mar 02, 20233022Error Codes 5000, 5001, 5002, 5005 and 5006 Updated for Crossover Claim Types
Mar 01, 20233021Attention Provider Type 21 (Podiatrist): Procedure Codes Reopened for Billing
Mar 01, 20233020Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Gene Analysis and Testing Procedure Codes Open for Billing
Feb 28, 20233019Vaccination Schedules for Infants, Children and Adults Updated by the Centers for Disease Control and Prevention (CDC)
Feb 24, 20233018Attention All Providers: Translation Services Feature Added to the Public Webpages of Nevada Medicaid Website
Feb 24, 202330172023 Annual New Code Update
Feb 22, 20233016COVID-19 UNWIND: New Unwind Outreach Resources Available
Feb 22, 20233015Provider Type 91 (Pharmacist) May Link to Provider Groups Starting February 22, 2023
Feb 21, 20233014Attention Home and Community Based Waivers Provider Types: Specialty Code Added for Private Case Management
Feb 21, 20233013Updates Regarding National Correct Coding Initiative (NCCI) Quarter 1 2023 Files
Feb 21, 20233012Physician-Administered Drug (PAD) Claims that Denied in Error with Error Code 908 Reprocessed
Feb 17, 20233011Attention All Providers, Delegates and Staff: Upcoming Training Sessions for March 2023
Feb 17, 20233010Attention Provider Types 64 (Hospice) and 65 (Hospice, Long Term Care): Update Regarding Error Code for Outpatient and Inpatient Hospice Claims Submitted With Same Date of Service (Updated information added March 29, 2023)
Feb 16, 20233009Instructions for Requesting a Change in Revenue Code or Procedure Code
Feb 15, 20233008Reminder for All Providers: When Attachments May Be Required On Claims
Feb 13, 20233007Attention Provider Type 90 (Doula Services): Additional Doula Visits Allowed
Feb 13, 20233006Attention Providers Performing Telehealth Services: Audio-only Telehealth Services Allowed
Feb 13, 20233005Medicare Crossover Claims That Paid Greater Than Zero in Error Have Been Reprocessed
Feb 10, 20233004Notice of Public Workshop: Discussion of Process for One-Time Supplemental Payment for Nursing Facilities and Assisted Living Providers
Feb 10, 20233003COVID-19 UNWIND: Eligibility Renewal Timeline Available for Recipients
Feb 10, 20233002Attention Provider Type 56 (Inpatient Rehabilitation and Long Term Acute Care (LTAC) Specialty Hospitals): Error Code 5005 Updated
Feb 10, 20233001Expansion of Medicaid Program for Certain Pregnant Individuals (Updated March 14, 2023)
Feb 09, 20233000Attention Home and Community Based Waivers Provider Types: Specialty Code Added for Private Case Management
Feb 07, 20232999New Emergency Medicaid Only (EMO) Billing Instructions Published
Feb 06, 20232998Drug Use Review (DUR) Board Approves Changes Effective February 6, 2023
Feb 03, 20232997Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for 2023
Feb 01, 20232996Attention Provider Type 65 (Hospice, Long Term Care): New Error Codes for Duplicate Inpatient Hospice Claims
Jan 30, 20232995Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Rates for Dialysis Codes 90945 and 90999 Adjusted for 2023
Jan 30, 20232994COVID-19 General Billing Guide Updated
Jan 27, 20232993Coverage of COVID-19 Over-the-Counter (OTC) Tests
Jan 27, 20232992COVID-19 Covered Services for Uninsured Individuals (COVID-19 Temporary)
Jan 27, 20232991Medicaid Services Manual Chapters Updated
Jan 26, 20232990COVID-19 UNWIND: Providers Asked to Help Prepare Medicaid Members for End of Public Health Emergency
Jan 26, 20232989Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Max Fee and Limitations Updated for Some Durable Medical Equipment Procedure Codes
Jan 23, 20232988Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Rate Implemented for Healthcare Common Procedure Coding System (HCPCS) Code S1040
Jan 20, 20232987Nevada Medicaid Centralized Credentialing Workshop for Providers - Scheduled January 30, 2023
Jan 20, 20232986Notice of Public Workshop: Proposed Changes to Medicaid Services Manual Chapter 100 - Medicaid Program
Jan 20, 20232985Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for December 2022 Claims
Jan 18, 20232984Attention All Providers, Delegates and Staff: Upcoming Training Sessions for February 2023
Jan 17, 20232983Attention All Providers: Nevada Medicaid Will Notify Providers When Linkage Changes Are Made
Jan 17, 20232982Attention All Providers: “Affiliated Providers” Feature Added to Electronic Verification System/Provider Web Portal
Jan 17, 20232981Attention All Providers: Reminder to Review Provider Type Specific Billing Guides
Jan 17, 20232980Medicaid Management Information System Updated with NCCI Quarter 1 2023 Files
Jan 13, 20232979Medicaid Providers Are Invited to Complete a Survey to Assist Nevada Medicaid in Developing a Centralized Credentialing Process
Jan 13, 20232978Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Durable Medical Equipment (DME) Prior Authorization Forms FA-1 and FA-1D Updated
Jan 12, 20232977Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2023 Quarter 3 Rate Updates Implemented
Jan 09, 20232976OTC Coverage and Reimbursement Changes Effective January 9, 2023
Jan 06, 20232975Attention Provider Type 12 (Hospital, Outpatient) Specialty 250 (Crisis Stabilization Center): Overview of Crisis Services
Jan 04, 202329741099-Misc. Forms for 2022 Tax Year to be Mailed to Providers by January 31, 2023
Jan 03, 20232973Attention All Providers: COVID-19 Booster Vaccine and Administration Codes Opened or Age Limitations Modified
Jan 03, 20232972Well Check and Sick Visit Combination Policy Update (Updated January 13, 2023)
Jan 03, 20232971Attention Provider Types 25 (Optometrist) and 41 (Optician, Optical Business): Vision Service Procedure Code V2799 Requires Prior Authorization
Jan 03, 20232970Inpatient, Inpatient Crossover and Long Term Care Claims Reprocessed if Recipient Had Hospitalization for Other Health Insurance
Dec 30, 2022Volume 19 Issue 4COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2022 Provider Newsletter)
Dec 30, 20222969Diagnostic Radio-Pharmaceutical Healthcare Common Procedure Coding System (HCPCS) Code A9596 Open for Billing
Dec 29, 20222968Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective December 29, 2022
Dec 27, 20222967Attention All Providers: Electronic Verification System (EVS)/Provider Web Portal Administrative Account Password Resets
Dec 27, 20222966Medicaid Services Manual Chapters Updated
Dec 22, 20222965Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2022 Claims
Dec 21, 20222964Catchment Area Zip Codes Updated in Medicaid Management Information System (MMIS)
Dec 21, 20222963Attention All Providers, Delegates and Staff: Upcoming Training Sessions for January 2023
Dec 20, 20222962Provider Type 86 (Specialized Foster Care) Claims Reprocessed
Dec 19, 20222961Attention Provider Type 65 (Hospice, Long Term Care): Claims Denied With Error Code 570 Have Been Reprocessed
Dec 16, 20222960Changes Made to Diabetic Supplies Preferred Product List Effective December 1, 2022
Dec 16, 20222959COVID-19 UNWIND: Nevada Medicaid COVID-19 Public Health Emergency Operational Unwinding Plan Has Been Updated
Dec 14, 202229582023 Annual New Code Update
Dec 12, 20222957Manufacturer’s Invoice Requirements for Durable Medical Equipment (DME) Providers
Dec 12, 20222956Prenatal and Pediatric Vitamin Coverage Changes Effective December 12, 2022
Dec 07, 20222955Monkeypox: Nevada Medicaid Opens Monkeypox Testing and Vaccine Administration Codes for Billing
Dec 07, 20222954Professional Claims Reprocessed if Duplicate Payments Made in Error
Dec 06, 20222953Return Enrollment or Revalidation Letter Issue Resolved
Dec 05, 20222952Attention All Providers: Procedure Codes Released for Vaccine Counseling Visits for Children under 21 Years of Age
Dec 05, 20222951Attention Inpatient Hospitals: Claims for Newborn Admission Revenue Codes 170, 171 and 172 Reprocessed
Dec 02, 20222950Professional and Professional Crossover Claims with Duplicate Details on Current and History Claims Have Been Reprocessed
Nov 30, 20222949National Influenza Vaccination Week 2022
Nov 28, 202229482022 Quadrennial Rate Review Report
Nov 28, 20222947Attention All Providers Billing Third Party Liability
Nov 23, 20222946Attention All Providers: Pfizer and Moderna COVID-19 Booster Vaccine and Administration Codes
Nov 22, 20222945COVID-19 General Billing Guide Updated
Nov 21, 20222944Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Limitation Error Codes 5694 and 5695 Will Apply to Claims for Procedure Code H2011
Nov 21, 20222943Revenue Code Must Be Exact Match on Inpatient Claim and Prior Authorization
Nov 21, 20222942Attention All Providers: Recipient Names on Nevada Medicaid ID Cards
Nov 21, 20222941Institutional Claims Billed with Type of Bill Ending in Zero
Nov 14, 20222940Professional and Outpatient Claims Denied in Error with Error Code 6125 Have Been Reprocessed
Nov 10, 20222939Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2023 Quarter 2 Rate Updates Implemented
Nov 09, 20222938Attention Applied Behavior Analysis (ABA) Providers: Updated Form FA-11E for ABA Authorization Request
Nov 08, 20222937Attention Behavioral Health Providers: Medicaid Services Manual Chapter 400 and Enrollment Checklists for Qualified Mental Health Associate (QMHA) and Qualified Behavioral Aide (QBA) Updated and Posted Online
Nov 07, 20222936Attention Provider Type 74 (Nurse Midwife): Claims That Denied in Error Have Been Reprocessed
Nov 07, 20222935Some Professional Claims Denied with Error Code 4224 Have Been Reprocessed
Nov 07, 20222934Emergency Medicaid Only Professional Claims That Paid Discharge Date in Error Have Been Reprocessed
Nov 03, 20222933Attention Provider Type 22 (Dentist): A Reminder from the Centers for Disease Control and Prevention (CDC) on the Importance of Dental Line Safety and Disinfection
Oct 31, 20222932Drug Use Review (DUR) Board Approves Changes Effective October 31, 2022
Oct 27, 20222931Medicaid Services Manual Chapter 400 Updated
Oct 26, 20222930Updated Qualifying Clinical Trials (QCTs) Policy
Oct 25, 20222929Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2022 Claims
Oct 24, 20222928Claim Reprocessing Efforts for Inpatient Institutional Claims with Medicare Part A and/or Part B
Oct 21, 20222927Institutional Claims Billed with Type of Bill Ending in Zero
Oct 19, 20222926Attention Providers of Home and Community Based Services (HCBS): Certain Employers of Home Care Workers May Apply for Round 2 of Supplemental Payment
Oct 19, 20222925Attention All Providers: Form FA-29 Required to Report Change in Recipient’s Prior Authorized End Date of Services
Oct 19, 20222924Medicaid Management Information System Updated with NCCI Quarter 4 2022 Files
Oct 18, 20222923Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Rates Updated for Six Procedure Codes
Oct 18, 20222922Indian Health Program Rates Adjusted for Calendar Year 2022
Oct 18, 20222921Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Oct 17, 20222920Attention Some Waiver Providers: Updates to Error Codes 5041, 5042 and 5048
Oct 17, 20222919Current Procedural Terminology Code 90759 Must Be Billed with National Drug Code
Oct 13, 2022Volume 19 Issue 3COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (Third Quarter 2022 Provider Newsletter)
Oct 12, 20222918COVID-19 General Billing Guide Updated
Oct 11, 20222917Monkeypox Guidance and Technical Bulletins: Treatment, Pain Management and Severe Manifestations of Monkeypox
Oct 11, 20222916Attention Providers of Behavioral Health Services: Procedure Code 90875 Prior Authorization Requirement
Oct 11, 20222915Reminder for Providers Submitting Physician-Administered Drug Claims: Enter Only National Drug Code Quantity in NDC Quantity Field
Oct 10, 20222914Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (Palivizumab)
Oct 07, 20222913Attention Individual Providers: Tax ID Information When Registering for the Electronic Verification System (EVS) Portal
Oct 06, 20222912Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective October 6, 2022
Oct 06, 20222911Attention All Providers, Delegates and Staff: Upcoming Training Sessions for December 2022
Oct 03, 20222910COVID-19 UNWIND: Frequently Asked Questions for Managed Care Organizations & Dental Benefits Administrator Plans Updated
Oct 03, 20222909COVID-19 Vaccine Counseling Visits for Children under 21 Years of Age (Updated April 11, 2022, and December 5, 2022)
Sep 30, 20222908Attention Provider Type 55 (Day and Residential Habilitation Services): Claims that Paid or Denied in Error Have Been Reprocessed
Sep 29, 20222907Contact Information Regarding Pharmacy Claims or Physician-Administered Drug (PAD) Claims
Sep 29, 20222906Update to Provider Manual Section: 10.1.3 At-Home Over-the-Counter (OTC) COVID-19 Tests
Sep 28, 20222905Attention Individual Servicing Providers Linked to a Group and Group Providers Billing with Individual Rendering Providers: Report Individual National Provider Identifier (NPI) as Rendering Provider on Claims
Sep 27, 20222904Urgent Message for PASRR Users: Temporary Method to View Recipient History
Sep 26, 20222903COVID-19 UNWIND: Nevada Medicaid COVID-19 Public Health Emergency Operational Unwinding Plan
Sep 26, 20222902Claims without National Drug Codes (NDC) that Denied in Error Have Been Reprocessed
Sep 23, 20222901Attention All Providers: Reminder to Enter Claim Filing Indicator Code on Electronic Claims
Sep 20, 20222900Attention Provider Type 86 (Specialized Foster Care): Claims May Have Paid In Error
Sep 20, 20222899Reminder for All Providers: Providers Limited to One Active Change/Update Application Tracking Number (ATN)
Sep 19, 20222898Attention All Providers: New Novavax COVID-19 Vaccine Code and Administration Codes and Moderna COVID-19 Administration Codes
Sep 19, 20222897Attention All Providers: Moderna COVID-19 Vaccine Code 91311 and Administration Codes 0111A and 0112A Open for Children 6 Months through 5 Years
Sep 19, 20222896Attention All Providers: Claims Impacted by Provider’s Location Status
Sep 14, 20222895Attention All Providers, Delegates and Staff: Upcoming Training Sessions for November 2022
Sep 13, 20222894Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2022 Claims
Sep 09, 20222893Monkeypox: Nevada Medicaid Will Cover Monkeypox Testing and Vaccine Administration Codes
Sep 08, 20222892Outpatient, Professional and Medicare Crossover Claims for Procedure Codes A0160, T1015 and T1023 Reprocessed
Sep 02, 20222891Attention All Providers: Pfizer COVID-19 Vaccine Code 91308 and Administration Codes 0081A, 0082A and 0083A Open for Children 6 Months through 4 Years
Sep 02, 20222890Non-emergent Hospital or Level of Care Transfers Require Authorization Prior to Transfer
Sep 02, 20222889Reminder: Rate Review Surveys for Certain Provider Types
Sep 01, 20222888Attention Provider Type 24 (Advanced Practice Registered Nurse): Newborn Hearing Screen Procedure Code 92558 (Updated October 20, 2022)
Aug 31, 20222887Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Reminder to Use Modifiers Only When Appropriate
Aug 31, 20222886Attention Provider Type (PT) 74 (Nurse Midwife): Additional Procedure Codes That Can Be Billed under PT 74 (Updated October 20, 2022)
Aug 29, 20222885Attention Dental Services Providers: Claims for Dental Procedure Codes Reprocessed
Aug 29, 20222884Attention Provider Type 58 (Home and Community Based Waiver for Persons with Physical Disabilities): Use Modifier U1 with Procedure Code S5165 to Include Assessment Fee Plus Travel Cost
Aug 29, 20222883Medicaid Services Manual Chapter 1200 Updated
Aug 26, 20222882Update: Claim Denials for Medication-Assisted Treatment (MAT) Services with an Opioid Use Disorder (OUD) Diagnosis
Aug 26, 20222881Evaluation and Management Procedure Codes 99245 and 99215 (Updated September 14, 2022)
Aug 25, 20222880Attention All Providers: Reminder to Ensure Date of Service and Header Date Range Match on Claim
Aug 24, 20222879Attention All Providers, Delegates and Staff: Upcoming Training Sessions for October 2022
Aug 23, 20222878Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Claims for 2022 Anesthesia Procedure Codes Reprocessed
Aug 22, 20222877COVID-19 UNWIND: COVID-19 Vaccine and Vaccine Administration Codes Closed for Provider Type 22 (Dentist)
Aug 18, 20222876Attention All Providers: Providers Limited to One Active Change/Update Application Tracking Number (ATN)
Aug 17, 20222875COVID-19 Billing Guides Updated
Aug 17, 20222874Public Notice: Rescission of State Plan Amendment 22-0010 (Quarterly Supplemental Payment to Certain Home and Community-Based Services Provider Types)
Aug 16, 20222873Technical Bulletin: Monkeypox Virus Vaccine Guidance and Recommendations
Aug 16, 20222872Claims for Chemotherapy and Administration Related Codes Denied in Error
Aug 15, 20222871Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for July 2022 Claims
Aug 12, 20222870Attention Provider Type 38 (Home and Community Based Services (HCBS) Waiver for Individuals with Intellectual and Developmental Disabilities): Online Enrollment Application Group Linkage Options Enhanced
Aug 12, 20222869Attention All Providers: Provider Enrollment Group Training Videos Available
Aug 11, 20222868Drug Use Review (DUR) Board Approves Changes Effective August 1, 2022
Aug 11, 20222867COVID-19 UNWIND: Managed Care Organizations and Dental Benefits Administrator Plans - Frequently Asked Questions
Aug 10, 20222866Attention Provider Type 22 (Dentist): Claim Processing for Dental Services Rendered in an Inpatient Setting
Aug 10, 20222865Attention Behavioral Health Providers: Updated Form FA-11B for Mental Health Request for Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) Services
Aug 09, 20222864Inpatient Crossover Claims and Outpatient Crossover Claims that Paid Incorrectly Have Been Reprocessed
Aug 08, 20222863Attention Provider Type 12 (Hospital, Outpatient): Duplicate Outpatient Crossover Claims Reprocessed
Aug 02, 20222862Attention Provider Type 12 (Hospital, Outpatient): Duplicate Outpatient Crossover Claims
Aug 02, 20222861Attention Providers Who Bill Crossover Claims Electronically via 837I or 837P Transactions with Claims Adjustment Reason Code (CARC) 132: Claims Denied in Error Have Been Reprocessed
Aug 02, 202228602023 Annual ICD-10-CM Diagnosis Code and ICD-10-PCS Inpatient Procedure Code Updates
Aug 01, 20222859Claims for Radio-Pharmaceutical Codes
Jul 29, 20222858Attention Behavioral Health Providers: Licensed Master Social Worker (LMSW) Post-Graduate Interns May Enroll as a Qualified Mental Health Professional (QMHP) (Updated December 8, 2022)
Jul 29, 20222857CDC Outreach: Clinical Considerations for Monkeypox in Children and Adolescents
Jul 27, 20222856COVID-19 UNWIND: New “Update My Address” Website for Nevada Medicaid Recipients
Jul 26, 20222855Attention All Providers, Delegates and Staff: Upcoming Training Sessions for September 2022
Jul 25, 20222854Attention Provider Type 58 (Home and Community Based Waiver for Persons with Physical Disabilities): Specialty 204 (Home Delivered Meals) Providers May Bill Procedure Code S5170
Jul 22, 20222853State Plan Amendment Approval of Provider Types 89 – Community Health Workers, 90 – Doulas, and 91 – Licensed Pharmacists
Jul 22, 20222852Toolkit Available to Help Pediatricians and Family Physicians to Increase Confidence in and Uptake of COVID-19 Vaccines for Youth
Jul 22, 20222851Medicaid Services Manual Chapters Updated
Jul 21, 20222850Attention All Providers: Existing COVID-19 Testing Codes Have Been Opened for Additional Provider Types
Jul 21, 20222849Silver State Scripts Board (SSSB) Made Changes to Preferred Drug List (PDL) Effective July 20, 2022
Jul 20, 20222848Attention Northern Nevada Providers: LIBERTY Presents Free Adult Dental Days (Updated July 26, 2022)
Jul 20, 20222847Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Reminder of Service Limitations for Procedure Code H2011
Jul 20, 20222846New Error Codes Will Validate Covered Days on Inpatient and Long-Term Care Claims
Jul 18, 20222845Ultrasound Scan Procedure Codes 76827 and 76828
Jul 14, 20222844COVID-19 UNWIND: New COVID-19 Unwind Resources Available
Jul 14, 20222843CDC ADVISORY: Recent Reports of Human Parechovirus (PeV) in the United States - 2022
Jul 13, 20222842Attention Provider Type 14 (Behavioral Health Outpatient Treatment) and 82 (Behavioral Health Rehabilitative Treatment): Initial 16-Hour Competency Training Program Requirements for Qualified Mental Health Associates and Qualified Behavioral Aides
Jul 12, 20222841Attention Provider Type 64 (Hospice): Claims that Paid Federal Fiscal Year (FFY) 2021 Rates Have Been Reprocessed
Jul 12, 20222840Medicaid Services Manual Chapters Updated
Jul 11, 20222839Attention Provider Types 30 (Personal Care Services - Provider Agency) and 83 (Personal Care Services - Intermediary Service Organization): Electronic Visit Verification (EVV) Claims Reprocessed
Jul 07, 20222838COVID-19 UNWIND: Impact on Nevada Medicaid 1135 Flexibilities When Public Health Emergency Expires
Jul 07, 20222837Attention All Providers, Delegates and Staff: Upcoming Training Sessions for August 2022
Jul 07, 20222836Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2023 Quarter 1 Rate Updates Implemented
Jul 07, 20222835Attention Provider Types 60 (School Health Services) and 85 (Applied Behavior Analysis): Applied Behavior Analysis Services Can Be Billed With More Than One Place of Service Code
Jul 06, 2022Volume 19 Issue 2COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (Second Quarter 2022 Provider Newsletter)
Jul 06, 20222834Nevada Medicaid and Nevada Check Up Managed Care Organization (MCO) 2022 Open Enrollment
Jul 06, 20222833Professional Claims with Inpatient Place of Service
Jul 05, 20222832Requirements Regarding National Provider Identifier of Attending and Ordering, Prescribing or Referring Provider on Claims
Jul 05, 20222831Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Multiple Jobs and Day Training (JDT) Services Allowed Per Day
Jul 05, 20222830Claims for Anesthesia Codes for 2022 That Denied Have Been Reprocessed
Jul 01, 20222829Attention All Providers: Please Distribute Through Social Media
Jul 01, 20222828Attention All Providers: New Recipient Medicaid ID Cards Are Coming Soon
Jul 01, 20222827New Provider Type Created for Pharmacist Services
Jul 01, 20222826New Electronic Claim Billing Instructions for Physician-Administered Drug (PAD) 340B Claims Effective July 1, 2022
Jul 01, 20222825New Electronic Claim Billing Instructions for Pharmacy Point-of-Sale (POS) 340B Claims Effective July 1, 2022
Jul 01, 20222824Reminder: Hysterectomy Acknowledgement Form Required with Claims for Hysterectomy-Related Laparoscopy Surgical Codes Effective July 1, 2022
Jul 01, 20222823Attention All Providers: Pfizer COVID-19 Booster Administration Code 0074A Open for Children 5 through 11
Jun 30, 20222822Provider Documentation Reminders
Jun 30, 20222821Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): Update Regarding Claims Impacted by State Fiscal Year 2022 Quarter 2 Rate Updates
Jun 30, 20222820Medicaid Management Information System Updated with NCCI Quarter 3 2022 Files
Jun 29, 20222819Technical Bulletin: Pediatric COVID-19 Vaccines Recommended for Children Aged 6 Months – 5 Years
Jun 29, 20222818Ocular Procedure Codes V2623, V2625, V2627 and V2628 Will No Longer Deny with Error Code 5579
Jun 28, 20222817Rate Review Surveys for Certain Provider Types
Jun 24, 20222816Attention All Providers and Pharmacies: Pharmacy Systems Unavailable During Pharmacy Benefits Management (PBM) Transition
Jun 21, 20222815Attention Nursing, Hospice, Residential Treatment and Intermediate Care Facilities: Inpatient Crossover and Outpatient Crossover Claims That Denied With Error Code 4239 Have Been Reprocessed
Jun 20, 20222814New and Clarified Statuses for Provider Enrollment Applications
Jun 20, 20222813Attention All Providers: Moderna COVID-19 Booster Vaccine Code and Administration Code
Jun 20, 20222812Attention All Providers: Update on Claims Denied with Error Code 2504 When Other Insurance Applied to Co-Pay or Co-Insurance
Jun 20, 20222811Update Regarding Behavioral Health Claims Denied if Recipient Was Covered by Medicare
Jun 17, 20222810Website Changes Will Reflect Pharmacy Benefits Management Transition Effective July 1, 2022
Jun 17, 20222809Some Claims Adjudicated with Error Code 6511 Have Been Reprocessed
Jun 17, 20222808Claims That Should Have Denied for Medicare or Private Insurance Coverage Have Been Reprocessed
Jun 16, 20222807New Provider Type to be Created for Pharmacist Services
Jun 15, 20222806Know COVID-19 Vaccine “Expiration” AND “Beyond Use” Dates
Jun 14, 20222805Attention All Providers, Delegates and Staff: Upcoming Training Sessions for July 2022
Jun 13, 20222804Attention Provider Type 17 (Special Clinic) Specialty 174 (Public Health Clinic): Education and Training Procedure Codes Open for Billing
Jun 10, 20222803Attention Certified Community Behavioral Health Centers (CCBHCs): Bill with Place of Service Code 15 for Mobile Crisis Services
Jun 10, 20222802Attention Provider Type 22 (Dentist): Dental Fee-for-Service Coverage, Limitations and Prior Authorization Requirements Updated with 2022 Procedure Codes
Jun 09, 20222801New Electronic Claim Billing Instructions for Physician-Administered Drug (PAD) 340B Claims Effective July 1, 2022
Jun 09, 20222800New Electronic Claim Billing Instructions for Pharmacy Point-of-Sale (POS) 340B Claims Effective July 1, 2022
Jun 08, 20222799URGENT for All Providers: System Upgrades Will Impact Availability of the Provider Web Portal and Online Provider Enrollment
Jun 07, 20222798Attention Providers Billing Surgical Procedures: List Current Procedural Terminology (CPT) Codes from Highest to Lowest Relative Value
Jun 07, 20222797Attention Provider Type 55 (Day and Residential Habilitation Services): Some Claims that Adjudicated Incorrectly Have Been Reprocessed
Jun 06, 20222796COVID-19 Billing Guides Updated
Jun 06, 20222795Drug Use Review (DUR) Board Approves Changes Effective June 6, 2022
Jun 02, 20222794Attention Provider Type 28 (Pharmacy): Vaccine Administration Incentive for Expanded Use of Pfizer BioNTech COVID-19 Vaccine Booster Dose for Children 5 through 11
Jun 01, 20222793Emergency Use Authorization Revoked for Monoclonal Antibody Injection Code Q0247 and Infusion Codes M0247 and M0248
Jun 01, 20222792Hysterectomy Acknowledgement Form Required with Claims for Hysterectomy-Related Laparoscopy Surgical Codes Effective July 1, 2022
May 31, 20222791Attention All Providers: Physician-Administered Drug Claims and Point-of-Sale Drug Claims Impacted by Pricing Load Issue Are Being Reprocessed
May 27, 20222790Attention Provider Type 17 (Special Clinics) Specialty 166 (Family Planning): Additional Procedure Codes Opened for Billing
May 25, 20222789It’s Not Me or Is It?: Implicit Bias in Medicine ECHO Session Scheduled for May 31, 2022
May 25, 20222788Attention All Providers: Clinical Records Procurement for Encounter Data Validation
May 24, 20222787Attention Provider Type 12 (Hospital, Outpatient): Claims for Sedation Services Procedure Codes 99151, 99152 and 99153 Reprocessed
May 19, 20222786Attention All Providers, Delegates and Staff: Upcoming Training Sessions for June 2022
May 18, 20222785Reminders to Out-of-State and Catchment Area Providers Enrolling with Nevada Medicaid
May 17, 20222784Attention Provider Type 22 (Dentist) Specialties 80 (Oral Surgery) and 170 (Maxillofacial Surgery): Place of Service (POS) Code 21 Billing Option Available
May 13, 20222783Updated Information on Availability and Use of Treatments for Outpatients with Mild to Moderate COVID-19 Who are at Increased Risk for Severe Outcomes of COVID-19
May 12, 20222782Notice of Public Workshop for Nevada Administrative Code (NAC) Chapter 439A - Planning for the Provision of Health Care
May 10, 20222781Public Notice: COVID-19 American Rescue Plan Act (ARPA) State Plan Amendments
May 10, 20222780Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Origin
May 10, 20222779Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Wheelchair and Wheelchair Accessory Claims Reprocessing
May 04, 20222778URGENT: All Providers Encouraged to Take Small Business Impact Survey by May 9, 2022, Regarding Collection of Provider Data
May 04, 20222777Attention Provider Type 28 (Pharmacy): Additional Details Regarding Nevada Medicaid Fee-for-Service Transition of Pharmacy Benefits Management to Magellan Medicaid Administration Inc. on July 1, 2022
May 04, 20222776Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Ordering and Pricing Documents for Durable Medical Equipment
May 03, 20222775Attention Provider Type 22 (Dentist): Dental Imaging Claims with Procedure Code D9310
Apr 29, 20222774Medicaid Services Manual Chapters Updated
Apr 29, 20222773Attention Provider Types 11 (Hospital, Inpatient) and 64 (Hospice): Update Regarding Pediatric Hospice Claims with Overlapping Dates of Service
Apr 29, 20222772Attention Provider Type (PT) 34 Specialty 28 Occupational Therapy (OT) Providers in a Behavioral Health Setting
Apr 29, 20222771Use Modifier KX or Condition Code 45 for Claims for Transgender Individuals
Apr 25, 20222770Attention All Providers: Monoclonal Antibody Codes Opened for Treatment of COVID-19 Infection (Updated June 16, 2022)
Apr 25, 20222769Attention All Providers: Pfizer COVID-19 Vaccine Code and Administration Codes
Apr 22, 20222768Attention All Providers, Delegates and Staff: Upcoming Training Sessions for May 2022
Apr 22, 202227672022 Annual New Code Update
Apr 20, 20222766Instructions Updated for Submitting Claims for Exception Batch Processing Using the Provider Web Portal
Apr 20, 20222765Attention Provider Type 28 (Pharmacy): Claims Impacted by Pricing Load Issue will be Reprocessed
Apr 20, 20222764Attention All Providers: VEKLURY™ (remdesivir) Antiviral Medication for COVID-19 Omicron Variant Treatment
Apr 20, 20222763Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims Reprocessed
Apr 20, 20222762New Chatbot Provides Self-Service Option to Answering Providers’ Frequently Asked Questions
Apr 15, 2022Volume 19 Issue 1COVID-19 UNWIND: Nevada Medicaid and Nevada Check Up News (First Quarter 2022 Provider Newsletter)
Apr 14, 20222761Attention Provider Type 28 (Pharmacy): Nevada Medicaid Fee-for-Service Transition of Pharmacy Benefits Management to Magellan Medicaid Administration Inc. on July 1, 2022
Apr 14, 20222760Attention Provider Type 28 (Pharmacy): Second COVID-19 Vaccine Booster Dose
Apr 14, 20222759Attention All Providers: Reimbursement Rate Update for COVID-19 Vaccine Administration Codes
Apr 11, 20222758Attention All Providers: Prior Authorization Contact Information and Self-Service Tools
Apr 11, 20222757Attention Provider Type 86 (Specialized Foster Care): Update on Claims for Procedure Codes H2019 and H2019 with Modifier HT that Denied (Updated June 7, 2022)
Apr 11, 20222756Use Modifier QW on Claims when the Clinical Laboratory Improvement Amendments Test Waiver Applies to the Procedure Code
Apr 06, 20222755Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2022 Quarter 4 Rate Updates Implemented
Apr 01, 20222754Medicaid Management Information System Updated with NCCI Quarter 2 2022 Files
Mar 31, 20222753New Provider Type Created for Doula Services
Mar 31, 20222752Drug Use Review (DUR) Board Approves Changes Effective March 21, 2022
Mar 30, 20222751Attention Provider Type 86 (Specialized Foster Care): Update on Claims Denied with Error Code 4141
Mar 29, 20222750Attention All Providers: Delay in Processing Enrollments and Change/Update Requests
Mar 29, 20222749Attention Fee-for-Service Providers: Update Regarding Claims with Place of Service Codes 10 and 58
Mar 28, 20222748COVID-19 Vaccine Counseling Visits for Children under 21 Years of Age (Updated April 11, 2022, and December 5, 2022)
Mar 25, 20222747Attention All Providers: Reminder to Utilize the Electronic Verification System (EVS) to Verify Recipient Eligibility
Mar 23, 20222746Attention All Providers, Delegates and Staff: Upcoming Training Sessions for April 2022
Mar 22, 202227452022 Annual New Code Update
Mar 22, 20222744Claims Denied with Abortion Certificate Error Codes 3381 or 3382
Mar 21, 20222743Updates Regarding National Correct Coding Initiative (NCCI) Quarter 1 2022 Files
Mar 21, 20222742Rate Assigned for Office Visit Procedure Code 99417
Mar 18, 20222741Attention All Providers: Updated Notice on Neurotherapy Services for the Treatment of Mental Health Diagnoses and the Use of Biofeedback for the Treatment of Mental Health Diagnoses
Mar 17, 20222740COVID-19 UNWIND: Attention All Providers - Please Begin Recipient Outreach to Plan for End of the COVID-19 Public Health Emergency
Mar 17, 20222739Emergency Use Authorization Revoked for Monoclonal Antibody Injection and Infusion Codes
Mar 16, 20222738Inpatient Claims Denied in Error with Error Code 5001 Will Be Reprocessed
Mar 14, 20222737Professional and Outpatient Claims for Office Visit Procedure Code 99215
Mar 11, 20222736Attention All Providers: New Recipient/Enrollee Webpage Created Regarding Digital Medicaid ID Cards
Mar 11, 20222735Attention Provider Type 17 (Special Clinics) Specialty 182 (Indian Health Programs, Non-Tribal): COVID-19 Administration Codes Open for Billing
Mar 11, 20222734Prior Authorization for Non-Hospice Related Drugs for Recipients on Hospice
Mar 08, 20222733Update Regarding Claims for Procedure Codes with Duplicate Submissions
Mar 03, 20222732Attention All Providers, Delegates and Staff: Use Online Provider Enrollment Tool to Check Enrollment Application Status
Mar 02, 20222731Attention Home and Community Based Services (HCBS) Providers: Short-Term Supplemental Payments under American Rescue Plan Act (ARPA) Section 9817
Mar 02, 20222730Claims that Denied in Error with Error Code 5068 Have Been Reprocessed
Mar 02, 20222729Claims Denied or Paid in Error if Enrollment Contracts Overlapped with Other Providers Have Been Reprocessed
Mar 01, 20222728Attention Provider Type 68 (Intermediate Care Facilities for Individuals with Intellectual Disabilities / Private): Patient Liability to be Applied to Claims
Mar 01, 20222727Silver State Scripts Board (SSSB) Makes Changes to Preferred Drug List (PDL) Effective March 1, 2022
Feb 28, 20222726Attention All Providers, Delegates and Staff: Upcoming Training Sessions for March 2022
Feb 28, 20222725COVID-19 Billing Guides Updated
Feb 28, 20222724Attention Provider Type 12 (Hospital, Outpatient): Claims with National Drug Codes Processed Incorrectly and Denied in Error Have Been Reprocessed
Feb 25, 20222723Attention All Providers: Community Health Worker Provider Type Created
Feb 23, 20222722Attention Provider Type 12 (Hospital, Outpatient): Crisis Stabilization Center Specialty Created
Feb 22, 20222721Update: Medication-Assisted Treatment (MAT) Services with an Opioid Use Disorder (OUD) Diagnosis Must Be Billed with Modifier U5
Feb 22, 20222720Reminder to Bill Intrauterine Devices and Subdermal Implants with a National Drug Code (NDC) with a Unit of 1
Feb 22, 20222719Inpatient, Inpatient Crossover and Long Term Care Claim Reprocessing Update
Feb 18, 20222718Attention Provider Type 63 (Residential Treatment Center/Psychiatric Residential Treatment Center): Policy Clarification for Use of Psychiatric/Mental Health Advanced Practice Registered Nurse (APRN) Signatures
Feb 15, 20222717Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for 2022
Feb 15, 20222716Attention Provider Types 24 (Advanced Practice Registered Nurses) and 56 (Inpatient Rehabilitation and Long Term Acute Care (LTAC) Specialty Hospitals): Update on Claims Denied with Error Code 5005
Feb 15, 20222715Claims for Some Electroencephalogram (EEG) Codes That Denied Have Been Reprocessed
Feb 15, 20222714Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician Assistant): Claims for Cognitive Assessment and Care Planning Procedure Code 99483 Reprocessed
Feb 14, 20222713Attention Provider Type 12 (Hospital, Outpatient): Claims for Cognitive Assessment and Care Planning Procedure Code 99483 Reprocessed
Feb 14, 20222712Attention Provider Type 12 (Hospital, Outpatient): Some Physician-Administered Drug (PAD) Claims with Reject Code 70 Reprocessed
Feb 14, 20222711Update Regarding Inpatient and Outpatient Crossover Claims Impacted by Payment Error
Feb 14, 20222710Attention Provider Types 22 (Dentist) and 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims with Error Code 5578 Reprocessed (Updated February 28, 2022)
Feb 10, 20222709Medicaid Management Information System Updated with NCCI Quarter 1 2022 Files
Feb 08, 20222708Attention Provider Type 22 (Dentist): Claims for Dental Procedure Code D1354
Feb 08, 20222707Attention Provider Type 28 (Pharmacy): IN-HOME COVID-19 Vaccine Administration Provider Incentive Adjusted
Feb 08, 20222706Attention Provider Type 28 (Pharmacy): COVID-19 Vaccine Administration Provider Incentive Fee Adjusted
Feb 08, 20222705Attention Provider Type 28 (Pharmacy): Expanded Use for the Pfizer BioNTech COVID-19 Vaccine
Feb 07, 20222704Smoking/Tobacco Cessation Counseling Procedure Codes 99406 and 99407 No Longer Restricted to Pregnant Women Only
Feb 07, 20222703Professional and Institutional Claims Denied in Error with Error Code 7201 Have Been Reprocessed
Feb 03, 20222702Attention All Providers: Reminder Regarding Training Options
Feb 01, 20222701Attention Personal Care Services and Adult Day Health Care Services Providers: Nevada’s Dual Eligible Special Needs Plans (D-SNP) Program Does Not Impact Recipient Eligibility
Feb 01, 20222700Attention Provider Type 68 (Intermediate Care Facilities for Individuals with Intellectual Disabilities / Private): Patient Liability to be Applied to Claims
Jan 31, 20222699Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Laboratory Procedure Codes 81513 and 87563 Open for Billing
Jan 31, 20222698Attention Provider Type 86 (Specialized Foster Care): Claims for Recipients Enrolled in Both Nevada Medicaid Fee-For-Service (MCD) and Medicaid Fee-for-Service Child Welfare (MCDC)
Jan 31, 20222697Attention All Providers: Community Health Worker Provider Type Created
Jan 31, 20222696Attention Provider Type 22 (Dentist): Dental Claims for Recipients with Dental Managed Care that Paid in Error Have Been Reprocessed
Jan 28, 20222695Attention Provider Type 28 (Pharmacy): Nevada Medicaid Fee-for-Service (FFS) Update Regarding COVID-19 Oral Antivirals Reimbursement
Jan 27, 20222694Attention Provider Type 63 (Residential Treatment Center): Reminder Regarding Residential Treatment Center (RTC)/Psychiatric Residential Treatment Facility (PRTF) Critical Incident/Serious Occurrence Reporting Requirements
Jan 27, 20222693Attention All Providers: Refer to Electronic Verification System (EVS) User Manual to Assist with Navigating EVS
Jan 26, 20222692Attention All Providers, Delegates and Staff: Upcoming Training Sessions for February 2022
Jan 26, 20222691Attention All Providers: Reminder to Review Provider Type Specific Billing Guides
Jan 25, 20222690Online Form for Hospital and Physician Group Ownership; Senate Bill 329 Requires Reporting of Certain Business Arrangements (Updated January 28, 2022)
Jan 20, 20222689Attention Provider Type 28 (Pharmacy): Pfizer-BioNTech COVID-19 Vaccine for Individuals 16 and 17 Years of Age
Jan 20, 20222688Attention All Providers, Delegates and Staff: Automated Response System (ARS)
Jan 20, 20222687Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Claims for Ultrasonic Guidance During Surgery Procedure Code 76998 Reprocessed
Jan 18, 20222686Attention All Providers: Janssen COVID-19 Booster Administration Code and Moderna Vaccine Booster and Administration Codes
Jan 18, 20222685Attention All Providers: Update on Claims Denied with Error Code 2504 When Other Insurance Applied to Co-Pay or Co-Insurance
Jan 14, 20222684Attention All Providers: Nevada Medicaid and Nevada Check Up District Office Call Center Hours Extended to Assist Recipients (Updated January 20, 2022)
Jan 14, 20222683Attention All Providers: Notify Medicaid Recipients to Act Immediately if They Wish to Switch MCO Plans (Updated January 20, 2022)
Jan 14, 20222682Attention Provider Type 28 (Pharmacy): Camphotrex™ Gel Requires Prior Authorization Effective January 12, 2022
Jan 11, 20222681Attention All Providers: Effective Immediately Use New Email Addresses to Contact Nevada Medicaid Fiscal Agent
Jan 11, 20222680Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2022 Quarter 3 Rate Updates Implemented
Jan 10, 20222679Mobile Digital Medicaid Cards Coming January 21, 2022
Jan 07, 20222678Health Professional Shortage Areas (HPSAs) Health Care Provider Assessment/Survey
Jan 07, 20222677Attention Provider Type 22 (Dentist): Delivery Receipt Form Required with Claims for Dentures (Updated February 3, 2023)
Jan 06, 20222676URGENT: To Ensure Continuity of Care, Providers Should Not Cancel Services or Request Out of Pocket Payment from Recipients Who Were Assigned a New MCO as of January 1, 2022 (Updated January 20, 2022)
Jan 06, 202226751099-Misc. Forms for 2021 Tax Year to be Mailed to Providers by January 31, 2022
Jan 06, 20222674Attention All Providers, Delegates and Staff: Secure Correspondence Communication Tool
Jan 05, 20222673Rate Increase for Registered Behavior Technicians under Provider Type 85 (Applied Behavior Analysis) Approved by Centers for Medicare & Medicaid Services (Updated January 26, 2022)
Jan 05, 20222672Attention Provider Type 86 (Specialized Foster Care): Service Limitations Reminder
Jan 05, 20222671Claims Reprocessed for Monoclonal Antibody Injection Codes Q0244 and Q0247 and Infusion Codes M0243, M0245 and M0247
Jan 03, 20222670Silver State Scripts Board (SSSB) Makes Changes to Preferred Drug List (PDL) Effective January 3, 2022
Jan 03, 20222669Updated Medicare Part D Benefit Co-Pay for 2022
Jan 03, 20222668Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Procedure Codes Removed That Providers Are Not Qualified to Bill
Jan 03, 20222667Attention Provider Types 60 (School Health Services) and 85 (Applied Behavior Analysis): Update Regarding Applied Behavior Analysis Procedure Codes (Updated November 17, 2022, and August 21, 2023)
Jan 03, 20222666Attention Provider Types (PTs) 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Rates for Dialysis Codes 90945 and 90999 Adjusted for 2022
Dec 30, 2021Volume 18 Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2021 Provider Newsletter)
Dec 30, 202126652021 Consolidated Appropriations Act (CAA) Adds Coverage Requirements for Medicaid Recipients Participating in Qualifying Clinical Trials
Dec 27, 20212664Attention Provider Type 19 (Nursing Facility): Update Regarding Claims Impacted by State Fiscal Year 2022 Quarter 1 Rate Updates
Dec 21, 20212663Attention All Providers, Delegates and Staff: Reminder of Available Self-Service Options
Dec 21, 20212662Attention All Providers, Delegates and Staff: Upcoming Training Sessions for January 2022
Dec 20, 20212661Attention All Providers: COVID-19 Booster Vaccine Administration Code 0004A
Dec 20, 20212660Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2022 Quarter 2 Rate Updates Implemented
Dec 17, 20212659All Providers and Staff Invited to Take Women’s Preventive Services Initiative Awareness Survey by January 7, 2022
Dec 17, 20212658Attention All Providers: Recipient/Enrollee Webpage Created with Managed Care Organization (MCO) Expansion Information
Dec 16, 20212657Attention All Providers: 2022 Managed Care Caseload Distribution Notice (Updated January 20, 2022)
Dec 16, 202126562022 Annual New Code Update
Dec 15, 20212655Attention All Providers: Recipients May Request to Change Managed Care Organization (MCO) Plans (Updated January 20, 2022)
Dec 14, 20212654Attention Provider Type 28 (Pharmacy): In-Home COVID-19 Vaccination Administration (Updated December 28, 2021)
Dec 14, 20212653Attention Provider Type 58 (Home and Community Based Waiver for Persons with Physical Disabilities): Update Regarding Rate Restoration
Dec 14, 20212652Attention Behavioral Health Services Providers: Psychosocial Rehabilitation and Basic Skills Training Are Not Reimbursable on Same Date of Service as Intensive In-Home Supports and Services Provided through Specialized Foster Care Services
Dec 10, 20212651Attention Provider Type 86 (Specialized Foster Care): Include Modifier U8 on Initial Claim when Attaching Eligibility Checklist (Updated September 21, 2023)
Dec 10, 20212650Attention Provider Type 17 (Special Clinics) Specialties 171 (Methadone Clinic) and 215 (Substance Abuse Agency Model): Guidance Regarding DEA Final Rule for Mobile Methadone Units
Dec 09, 20212649Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Centers): Requirement to Enroll with Managed Care Organizations for 2022 (Updated January 20, 2022)
Dec 08, 20212648Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Update Regarding Metabolic Treatment Program through Nevada Early Intervention Services (NEIS)
Dec 08, 20212647Update Regarding Rates for Dialysis Codes 90945 and 90999 Adjusted for 2021
Dec 08, 20212646Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Center): Medication-Assisted Treatment (MAT) for Opioid Use Disorder (OUD) Services May Be Billed
Dec 07, 20212645Attention Provider Type 32 Specialty 932 (Ambulance, Air or Ground): Billing Guide Has Been Updated with Modifier Billing Requirements
Dec 06, 20212644Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Procedure Code S1040 Must Include Invoice
Dec 03, 20212643Attention Provider Types 60 (School Health Services) and 85 (Applied Behavior Analysis): Training Scheduled for December 13, 2021
Dec 03, 20212642Attention Provider Type 28 (Pharmacy): Folite Requires Prior Authorization Effective December 1, 2021
Dec 03, 20212641Attention Provider Type 28 (Pharmacy): FDA Expands Eligibility for COVID-19 Vaccine Boosters
Dec 01, 20212640Seriously Mental Ill (SMI) Adults or Recipients in Residential Treatment Centers (RTCs) to be Enrolled in Managed Care
Nov 24, 20212639Claims for Chemotherapy and Administration Related Codes Denied in Error
Nov 23, 20212638Some Behavioral Health Claims Denied in Error if Recipient Was Covered by Medicare
Nov 22, 20212637Attention All Providers: Please Distribute Flyer Regarding Managed Care Organization Changes
Nov 22, 20212636Professional and Outpatient Claims for Procedure Code 96375
Nov 19, 20212635Attention All Providers: 2022 Managed Care Caseload Distribution Notice (Updated January 20, 2022)
Nov 19, 20212634Medicaid Services Manual Chapters Updated
Nov 18, 20212633Attention Provider Type 28 (Pharmacy): COVID-19 Pfizer, Moderna and Janssen Booster Dose
Nov 17, 20212632Attention Provider Type 28 (Pharmacy): Emergency Use Authorization for Pfizer-BioNTech COVID-19 Vaccine for Children 5 through 11 Years of Age
Nov 15, 20212631Monoclonal Antibody Infusion Code M0240 Approved for Treatment of COVID-19 Infection (Updated December 28, 2021)
Nov 08, 20212630Attention Provider Type 64 (Hospice): Federal Fiscal Year (FFY) 2022 Annual Rates Update
Nov 03, 20212629Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Durable Medical Equipment (DME) Prior Authorization Forms (Updated December 30, 2022, and February 17, 2023)
Nov 03, 20212628Update Regarding Inactive Delegate Accounts on the Provider Web Portal: Delegate Must Log In to Account the Same Day They are Activated
Nov 02, 20212627Attention Home and Community Based Waiver for Frail Elderly Providers: Update Regarding Rate Restorations
Nov 02, 20212626Attention Provider Type 22 (Dentist): Update Regarding Claims for Dental Code D0230
Nov 01, 20212625Drug Use Review (DUR) Board Approves Changes Effective November 1, 2021
Nov 01, 20212624Silver State Scripts Board (SSSB) Approves Changes to Preferred Drug List (PDL) Effective November 1, 2021
Nov 01, 20212623New Provider Orientation Scheduled for December 2021
Oct 28, 20212622Attention All Providers: Please Participate in Health Information Technology (HIT) Survey by November 29, 2021 (Updated November 10, 2021)
Oct 27, 20212621Current DHCFP Rate Review Survey Deadline Extended to November 30, 2021
Oct 27, 20212620Update Regarding Claims for Procedure Codes with Duplicate Submissions (Updated March 8, 2022)
Oct 25, 20212619Attention Provider Type (PT) 19 Nursing Facilities: Delay in Quarterly Behaviorally Complex Care Program (BCCP) Authorizations for SFY 2022 Q2 (Updated January 6, 2022)
Oct 25, 2021Volume 18 Issue 3 v2Nevada Medicaid and Nevada Check Up News (Third Quarter 2021 Provider Newsletter) (New Content Added)
Oct 25, 20212618COVID-19 Billing Guides Updated
Oct 25, 20212617Professional Claims Denied with Error Code 5040 Have Been Reprocessed
Oct 21, 20212616Attention All Providers: 2022 Managed Care Caseload Distribution Notice (Updated January 20, 2022)
Oct 20, 20212615Attention Provider Type 60 (School Health Services): Billing Guide Updated
Oct 19, 20212614Follow-up to Web Announcement 2583: Additional Prior Authorization Instructions Regarding Emergency Medicaid Only (EMO) Claims Related to COVID-19 Treatment
Oct 18, 20212613COVID-19 Related Hospital Transfers
Oct 18, 20212612Attention All Providers: COVID-19 Home Vaccine Administration Code and Administration Codes for Third Dose of Vaccine (Updated February 28, 2022)
Oct 18, 20212611Attention Provider Type 12 (Hospital, Outpatient): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed (Updated February 11, 2022)
Oct 18, 20212610Attention Provider Type 17 Specialty 180 (Rural Health Clinics): DATA 2000 Waiver Training Payments Still Available for Rural Health Clinics
Oct 18, 20212609Gender Restrictions Updated for Certain ICD-10 Diagnosis Codes and Procedure Code 58300 (Updated June 3, 2022)
Oct 18, 20212608Inpatient and Outpatient Crossover Claims Impacted by Payment Error
Oct 15, 20212607Attention All Providers: DHCFP Fee-For-Service (FFS) Fee Schedule Update
Oct 15, 20212606Crossover Claims and Claims with Other Insurance that Denied with Error Code 676 Have Been Reprocessed
Oct 15, 202126052021 Dental Codes Denied with Error Code 4801 Have Been Reprocessed
Oct 15, 20212604Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Some Wheelchair Procedure Codes Reprocessed
Oct 13, 20212603Attention Provider Types (PT) 19 Nursing Facilities and 65 (Hospice, Long Term Care) ONLY: Temporary Delay in Quarterly Nursing Facility Rate Updates and PT 19 Supplemental Payments for SFY 2022 Q2
Oct 13, 20212602Medicaid Management Information System Updated with NCCI Quarter 4 2021 Files
Oct 11, 20212601Update: Reprocessing of Claims for Procedure Code H2011 (Crisis Intervention Services) Completed
Oct 11, 20212600Medicaid Services Manual Chapter 1200 (Prescribed Drugs) and Chapter 3700 (Applied Behavior Analysis) Updated
Oct 11, 2021Volume 18 Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2021 Provider Newsletter) (New Content Added)
Oct 08, 20212599Medicare Crossover Claims that Denied Incorrectly for Timely Filing Have Been Reprocessed
Oct 08, 20212598Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims Denied with Error Code 4257
Oct 07, 20212597Attention Provider Type 63 (Residential Treatment Center/Psychiatric Residential Treatment Center): Residential Treatment Center Concurrent Review Form Updated
Oct 07, 20212596All Applied Behavior Analysis Linkage – Provider Type 85
Oct 04, 20212595Attention Provider Type 22 (Dentist): Rate for Dental Code D2928 Corrected
Oct 01, 20212594Current DHCFP Rate Review Survey Deadline Extended to October 29, 2021
Sep 24, 20212593New Provider Orientation Scheduled for November 2021
Sep 24, 20212592Update Regarding Claims for Dialysis Codes 90945 and 90999 with Dates of Service in 2020
Sep 23, 20212591Transplant Maximum Reimbursement Rates Updated
Sep 23, 20212590Medication-Assisted Treatment (MAT) Services with an Opioid Use Disorder (OUD) Diagnosis Must Be Billed with Modifier U5
Sep 22, 20212589Additional Provider Relief Fund Payments to Be Available Due to COVID-19 Pandemic
Sep 20, 20212588Search Fee Schedule Tool Enhanced to Improve Provider Experience
Sep 20, 20212587Attention Provider Type 28 (Pharmacy): Reimbursement for Additional Doses of Moderna and Pfizer COVID-19 Vaccines
Sep 20, 20212586Attention Inpatient Hospitals and Facilities: Enter Value Codes and Number of Days on Claims
Sep 17, 20212585Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Sep 17, 20212584Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Medical Necessity Clarification for Non-Invasive Ventilators
Sep 17, 20212583Prior Authorization Requirements No Longer Bypassed for Emergency Medicaid Only (EMO) Claims Related to COVID-19 Treatment
Sep 16, 202125822022 Annual ICD-10-CM Diagnosis Code and ICD-10-PCS Inpatient Procedure Code Updates
Sep 15, 20212581Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician’s Assistant): Updates to Procedure Codes 50382, 50384, 61615, Q4020 and 87493
Sep 14, 20212580Reminder: Do Not Bill Procedure Codes H0004, H2011 and H2014 with Duplicate Details
Sep 10, 20212579Update on the Urgent Announcement Regarding Claims Suspending for Budget Relief (Suspension Removed)
Sep 08, 20212578Urgent Announcement Regarding Claims Suspending for Budget Relief (Updated September 9, 2021)
Sep 07, 20212577Attention Provider Type 28 (Pharmacy): Guidance on Pharmacies Filling Prescriptions Under Declaration of Emergency Due to Caldor Fire
Sep 03, 20212576Attention Provider Type 60 (School Health Services): Some Health Behavior Assessment/Intervention Codes and Dental Codes May Be Billed
Sep 01, 20212575Nevada Medicaid Expands Dates for 2021-2022 Respiratory Syncytial Virus (RSV) Season
Aug 31, 20212574Drug Use Review (DUR) Board Approves Changes Effective September 1, 2021
Aug 31, 20212573New Provider Orientation Scheduled for October 2021
Aug 26, 20212572Reminder to Providers to Complete DHCFP Rate Review Surveys
Aug 25, 20212571U.S. Food and Drug Administration Approves First COVID-19 Vaccine
Aug 25, 20212570Chromosomal Microarray Analysis Procedure Codes 81228 and 81229 May Be Billed (Updated November 10, 2021)
Aug 25, 20212569Attention Provider Type 19 (Nursing Facility): State Fiscal Year 2022 Quarter 1 Rate Updates Implemented
Aug 23, 20212568Attention Provider Types 30 (Personal Care Services - Provider Agency) and 83 (Personal Care Services - Intermediary Service Organization): Personal Care Services (PCS) Prior Authorization Form Updated
Aug 23, 20212567Attention All Providers, Delegates and Staff: Upcoming Training Sessions for September 2021
Aug 20, 20212566Attention Provider Type 28 (Pharmacy): Amendment to Vaccine Administration Reimbursement for Additional Doses of Moderna and Pfizer COVID-19 Vaccines
Aug 18, 20212565Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Cochlear Codes to be Open for Billing
Aug 16, 20212564Reprocessing of Claims for Procedure Code H2011 (Crisis Intervention Services) Scheduled to Begin
Aug 16, 20212563Attention Provider Type 58 (Home and Community Based Waiver for Persons with Physical Disabilities): Update Regarding Rate Restorations
Aug 16, 20212562Attention Home and Community Based Waiver for Frail Elderly Providers: Update Regarding Rate Restorations
Aug 16, 20212561Some Zero Rate Procedure Codes Will Be Assigned Rates
Aug 16, 20212560Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2021 Quarter 4 Rate Updates Implemented and Impacted Claims Reprocessed
Aug 13, 20212559Provider Billing Guidance for Synagis® (Palivizumab) (Updated September 1, 2021)
Aug 13, 20212558Attention Behavioral Health Providers Delivering Crisis Intervention (CI) Services: Prior Authorization Requirements for Emergency Requests
Aug 10, 20212557Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Provider Training Sessions Scheduled
Aug 06, 20212556Providers Invited to Complete DHCFP Rate Review Surveys
Aug 05, 20212555Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician’s Assistant): Ultrasonic Guidance During Surgery Procedure Code 76998
Aug 05, 20212554Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician Assistant): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed (Updated February 11, 2022)
Aug 03, 20212553New Provider Orientation Scheduled for September 2021
Aug 02, 20212552Attention All Providers, Delegates and Staff: New Nevada Medicaid YouTube® Channel Created for Provider Training
Jul 29, 20212551Attention All Providers, Delegates and Staff: Upcoming Training Sessions for August 2021
Jul 27, 20212550Professional, Professional Crossover, Outpatient and Outpatient Crossover Claims with National Drug Codes (NDC) that Denied in Error Have Been Reprocessed
Jul 23, 20212549Attention Provider Type 22 (Dentist): Tooth Number and Surface Number Not Required for Dental Code D0230
Jul 23, 20212548Immunization Administration Claims that Denied with Error Code 0708 Reprocessed
Jul 21, 20212547Procedure Codes for HIV Testing, Syphilis Testing and High Intensity Behavioral Counseling Will Be Opened for Additional Provider Types
Jul 21, 20212546Expired Provider Enrollment Applications and Change Requests
Jul 20, 20212545Attention Provider Type 22 (Dentist): Provider Training Sessions Scheduled (Updated July 23, 2021)
Jul 19, 20212544New Non-Emergency Secure Behavioral Health Transports Provider Type 35 Specialty 987
Jul 19, 20212543Certified Community Behavioral Health Center (CCBHC) Allowable Services Grid and the Federally Qualified Health Centers (FQHC) CCBHC Allowable Services Grid Updated
Jul 07, 20212542Electronic Funds Transfer (EFT) Authorization Form Update (Announcement updated July 23, 2021)
Jul 06, 20212541Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse), 74 (Nurse Midwife), and 77 (Physician Assistant): DEA X-Waiver Providers Prescribing Buprenorphine
Jul 06, 20212540Urgent Notification Regarding Rates for Dialysis Codes 90945 and 90999 Adjusted for 2021 (Updated July 22, 2021)
Jul 06, 20212539Drug Use Review (DUR) Board Approves Changes Effective July 6, 2021
Jul 06, 2021Volume 18 Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2021 Provider Newsletter)
Jul 02, 20212538Multiple Improvements Implemented on Remittance Advices
Jul 02, 20212537New Provider Orientation Scheduled for August 2021
Jul 01, 20212536Attention All Providers: Providers Must Be Enrolled in Nevada Medicaid to be Reimbursed for COVID-19 Related Services
Jun 30, 20212535Attention All Providers: New Disability Information and Access Line (DIAL) Hotline Provides COVID-19 Vaccination Access Assistance
Jun 30, 20212534Medicaid Management Information System Updated with NCCI Quarter 3 2021 Files
Jun 28, 20212533Attention All Behavioral Health Providers: Information about the LOCUS and CALOCUS Assessment Tools
Jun 25, 20212532Attention All Providers, Delegates and Staff: Upcoming Training Sessions for July 2021
Jun 25, 20212531Attention All Providers: Claims Submission Time Frame Reminders
Jun 22, 20212530Attention Physicians and Hospitals: Alliance for Innovation on Maternal Health (AIM) Free Virtual Event Scheduled for June 24, 2021
Jun 22, 20212529Professional Crossover Encounter Claims Reprocessed
Jun 22, 20212528Professional and Outpatient Claims Denied with Error Codes 4871 or 4874 Have Been Reprocessed
Jun 22, 20212527Update Regarding Inpatient Institutional Claims with Medicare Part A
Jun 21, 20212526Attention Provider Type 19 (Nursing Facility): Claims that Paid Non-Covered Discharge Day Reprocessed
Jun 21, 20212525Issue Resolved Regarding Automatically Reprocessed Claims
Jun 16, 20212524Attention All Providers: Proposed Elimination of Biofeedback and Neurotherapy Services for the Treatment of Mental Health Diagnoses
Jun 15, 202125232021 Annual New Code Update: Rates to be Entered and Claims to be Released for Adjudication (Updated July 1, 2021)
Jun 14, 20212522Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Power Wheelchair Procedure Codes That No Longer Require NU or UE Modifiers
Jun 09, 20212521Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Wheelchair and Wheelchair Accessory Claims Denied with Error Code 5593
Jun 09, 20212520Indian Health Program Rates Adjusted for Calendar Year 2021
Jun 08, 20212519Proton Treatment Delivery Procedure Codes 77520, 77522, 77523 and 77525 (Updated June 14, 2021)
Jun 08, 20212518Attention All Providers: Authorized User Information Update in Online Provider Enrollment Application
Jun 04, 20212517Urgent Announcement Regarding Claims Suspending for Budget Relief
Jun 02, 20212516Attention Inpatient Providers: Claims that Processed in Error as Outpatient Claims Have Been Reprocessed
Jun 01, 20212515Attention Prescribers and Pharmacies: Nevada Medicaid Fee-for-Service Updates for Insulin Syringes
Jun 01, 20212514Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Update Regarding Claims Impacted by Rate Change for COVID-19 Testing Codes U0003 and U0004
Jun 01, 20212513New Provider Orientation Scheduled for July 2021
May 28, 20212512Attention Provider Type 75 (Critical Access Hospital (CAH), Inpatient): Provider Training Sessions Scheduled
May 27, 20212511Providers Encouraged to Promote Mental Health Services through Social Media
May 27, 20212510Attention Provider Type 34 (Therapy) Specialty 28 (Occupational Therapy): Aquatic Therapy Procedure Code 97113 May Be Billed
May 26, 20212509Update for Indian Health Program Claims for Calendar Year 2020
May 26, 20212508Attention Provider Type 29 (Home Health Agency and Private Duty Nursing Services): Authorization Periods Updated
May 24, 20212507Attention All Providers: New HHS Program Covers Cost of Administering COVID-19 Vaccine Not Covered by Insurance
May 20, 20212506Attention Provider Type 19 (Nursing Facility): New Nursing Facility Managed Care Contracts Effective January 1, 2022
May 18, 20212505Attention All Providers: Top Prior Authorization Denial Reasons for the First Quarter of 2021
May 17, 20212504Inactive Delegate Accounts on the Provider Web Portal Disabled Effective May 17, 2021
May 17, 20212503Attention Provider Type 55 (Day and Residential Habilitation Services): Some Claims Submitted on Professional Claim Form Denied in Error with Error Code 2017 (Updated June 7, 2022)
May 14, 20212502Attention All Providers: Update Regarding Rate Reduction Implementation (Updated May 19, 2021)
May 13, 20212501Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for First Quarter 2021 Submissions
May 11, 20212500Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Procedure Code A5131 Claims Limitation
May 10, 20212499Attention All Providers: Use Federal Consent for Sterilization (form HHS-687) (Updated May 24, 2021)
May 10, 20212498List of Group Providers Who Should Not Have Individuals Linked to Them and an Update Regarding Claims Denied with Error Code 1008
May 07, 20212497Attention Provider Type 63 (Residential Treatment Center): Residential Treatment Center Managed Care Contracts Effective January 1, 2022
May 07, 20212496Inactive Delegate Accounts on the Provider Web Portal Will Be Disabled Beginning May 17, 2021
May 07, 20212495Attention All Providers: Monoclonal Antibodies Approved for Treatment of COVID-19 Infection (Updated September 2, 2021)
May 06, 20212494Attention Provider Type 22 (Dental Providers): COVID-19 Vaccination Administration Claim Reimbursement Guide for Dental Providers
May 06, 20212493Attention All Providers: New COVID-19 Vaccine Codes and Vaccine Administration Codes
May 06, 20212492Attention Provider Types 30 (Personal Care Services – Provider Agency) and 83 (Personal Care Services – Intermediary Service Organization): Protocols for Creating Prior Authorizations in the Provider Web Portal
May 05, 20212491Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): List of Procedure Codes That No Longer Require NU Modifier Effective April 1, 2021
May 04, 20212490Attention All Providers: Submitting Secondary Claims Trainings Scheduled in 2021
May 03, 20212489Attention Provider Types 24 (Advanced Practice Registered Nurse) and 77 (Physician’s Assistant): Claims for Procedure Codes 99225 and 99226 Reprocessed
May 03, 20212488Attention Provider Types 22 (Dentist), 10 (Outpatient Surgery, Hospital Based) and PT 46 (Ambulatory Surgery Centers): Claims for Some Dental Procedure Codes Reprocessed
Apr 30, 20212487New Provider Orientation Scheduled for June 2021
Apr 28, 20212486Attention All Providers: Reminder Regarding COVID-19 Funeral Assistance
Apr 28, 20212485Attention All Providers: Step-by-Step Guide Available to Assist Nevadans 16 Years of Age and Older in Making Appointment for COVID-19 Vaccination
Apr 28, 20212484Attention All Providers, Delegates and Staff: Upcoming Training Sessions for May 2021
Apr 27, 20212483Reminder Regarding Limitation for Office Consultation Procedure Code 99245
Apr 27, 20212482Medicaid Management Information System Updated with NCCI Quarter 2 2021 Files
Apr 26, 20212481Attention All Providers: Guidance Regarding Storage and Handling of COVID-19 Vaccines
Apr 23, 20212480Attention All Providers Performing COVID-19 Diagnostic Testing with Procedure Code 87426
Apr 23, 20212479Attention Provider Type 60 (School Health Services): COVID-19 Testing Procedure Codes May Be Billed
Apr 23, 20212478Attention Provider Type 22 (Dentist): Include Tooth Number on Claims for Procedure Code D0230
Apr 22, 20212477Provider Web Portal Registration Process Reminders
Apr 21, 20212476REMINDER: Claims and Claims Appeals Must Be Submitted Electronically
Apr 20, 20212475Attention All Providers: Fact Sheets Regarding Access to COVID-19 Vaccination
Apr 19, 20212474Reminder: Use Report Download Feature in Provider Web Portal to Obtain Copy of Nevada Medicaid Contract
Apr 16, 20212473Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Update Regarding Claims for Behavior Assessment/Intervention Procedure Codes
Apr 15, 20212472Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2021 Claims
Apr 12, 20212471URGENT: Health Resources & Services Administration (HRSA) COVID-19 Uninsured Program Webinar on April 13, 2021
Apr 12, 20212470Attention Provider Type 63 (Residential Treatment Center/Psychiatric Residential Treatment Facility): Reminder Regarding Elopement Policy
Apr 12, 20212469Medicaid Services Manual Chapter 400 Updated
Apr 06, 20212468Attention All Providers and Their Staff: Course Helps Dispel Myths of Human Trafficking
Apr 06, 20212467Drug Use Review (DUR) Board Approves Changes Effective March 1, 2021
Apr 06, 20212466New Provider Orientation Scheduled for May 2021
Apr 05, 20212465Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Procedure Codes Denied in Error with Error Code 5638 Have Been Reprocessed
Apr 05, 20212464Attention Provider Type 17 (Special Clinics) Specialty 215 (Substance Abuse Agency Model (SAAM)): Prior Authorization No Longer Required Prior to Psychotherapy Services Being Provided
Apr 05, 2021Volume 18, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2021 Provider Newsletter)
Mar 31, 20212463Prior Authorization Process for Zolgensma® (onasemnogene abeparvovec-xioi) for Fee-for-Service and Managed Care Organization Recipients
Mar 31, 20212462Attention Vision Services Provider Types 25 (Optometrist) and 41 (Optician, Optical Business): Additional Workshop Sessions Scheduled
Mar 30, 20212461Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Reminder Regarding Rental Equipment
Mar 30, 20212460Claims Denied with Error Codes 5003 and 5004 or Explanation of Benefits Code 8223 Have Been Reprocessed
Mar 30, 20212459Reminder for Therapy Services Delivered via Telehealth during Public Health Emergency (PHE)
Mar 29, 20212458Attention Ambulatory Surgical Services and Professional Claims Providers: Modifier 50 Can Be Billed with Bilateral Procedures
Mar 29, 20212457Updated Notice for Provider Type 63: Residential Treatment Center (RTC)/Psychiatric Residential Treatment Facility (PRTF) Critical Incident/Serious Occurrence Reporting Requirements Update
Mar 23, 20212456OptumRx Prior Authorization Process for Obtaining Additional Information
Mar 23, 20212455Attention All Providers, Delegates and Staff: Upcoming Training Sessions for April 2021
Mar 22, 20212454OptumRx Pharmacy Benefits Manager System Updates
Mar 22, 20212453Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Procedure Codes E1399 and K0108
Mar 18, 20212452Attention Behavioral Health Community Network (BHCN) Groups and Substance Abuse Agency Model (SAAM) Groups: Claims for Procedure Codes S9480 and H0035 Reprocessed
Mar 16, 20212451Attention All Providers: Use DHCFP Fee Schedule to Obtain Current Reimbursement Rates
Mar 15, 20212450Attention All Providers: Please Share “Get Protected” COVID-19 Vaccine Flyer with Patients
Mar 15, 20212449Attention Provider Type 55 (Day and Residential Habilitation Services): Use Professional Claim Form Effective with Dates of Service on or after March 16, 2021 (Updated March 23, 2021)
Mar 15, 20212448Medicaid Services Manual Chapters Updated
Mar 11, 20212447Attention Provider Types 23 (Hearing Aid Dispenser & Related Supplies) and 76 (Audiologist): Audiology Services Provider Training Sessions Scheduled
Mar 10, 20212446Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Volara™ Classified as Experimental/Investigational Equipment for In-Home Setting
Mar 10, 20212445Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for February 2021 Claims
Mar 04, 20212444Attention All Providers: Update Regarding Rate Reduction Implementation
Mar 04, 20212443New Provider Orientation Scheduled for April 2021
Mar 03, 20212442Encounter-Based Providers and COVID-19 Vaccine Billing
Mar 02, 20212441Rates Update Regarding COVID-19 Testing Codes
Mar 01, 20212440COVID-19 Billing Guides Updated with Procedure Code 87428
Mar 01, 20212439Immunization Administration Claims that Denied with Error Code 0708 Reprocessed
Mar 01, 20212438Attention Provider Type 64 (Hospice): Claims Impacted by Updated Rates Have Been Reprocessed
Feb 25, 20212437Attention All Behavioral Health Providers: Psychotherapy Service Limitations Restart January 1 Each Calendar Year
Feb 25, 20212436COVID-19 Testing Codes Update
Feb 24, 20212435Attention All Providers, Delegates and Staff: Upcoming Training Sessions for March 2021
Feb 22, 20212434Attention Inpatient Providers: Recipient Eligibility Impacts Inpatient and Inpatient Crossover Claims
Feb 17, 20212433Attention All Providers: Claims for Injection Procedure Codes that Denied in Error Have Been Reprocessed
Feb 17, 20212432Attention Provider Type 32 (Ambulance, Air or Ground): Update Regarding Reprocessed Ground Emergency Medical Transportation (GEMT) Claims
Feb 17, 20212431Attention Provider Type 32 Specialty 932 (Ambulance, Air or Ground): Update Regarding Claims Denied for Ambulance Services
Feb 16, 20212430Attention Provider Type 58 (Home and Community Based Waiver for Persons with Physical Disabilities): Update Regarding Claims Impacted by Rate Changes Due to Assembly Bill 3
Feb 16, 20212429Attention All Providers: Claims that Denied in Error with Timely Filing Error Codes 676 or 677 Have Been Reprocessed
Feb 12, 20212428Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004
Feb 11, 20212427Nevada Health Link Opens Special Enrollment Period for Uninsured Nevadans Starting February 15, 2021
Feb 11, 20212426Providers Invited to Participate in Medical Care Advisory Committee
Feb 11, 20212425Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2021 Claims
Feb 03, 20212424COVID-19 Flyers for Medicaid Recipients
Feb 03, 20212423New Provider Orientation Scheduled for March 2021
Feb 02, 20212422Implementation of CAPTCHA Program in Provider Web Portal
Feb 01, 20212421Medicaid Management Information System Updated with NCCI Quarter 1 2021 Files
Feb 01, 20212420Attention All Home Health Provider Types: Training Sessions Scheduled (Updated February 9, 2021)
Jan 29, 20212419Provider Relief Fund Reporting Update and Registration
Jan 29, 20212418Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2021 Quarter 3 Rate Updates Implemented
Jan 25, 20212417Attention Waiver Provider Types: Billing Guides Updated to Align with Waiver Renewals Approved by Centers for Medicare & Medicaid Services (CMS)
Jan 25, 20212416Attention All Providers, Delegates and Staff: Upcoming Training Sessions for February 2021
Jan 22, 20212415Attention All Behavioral Health Community Network (BHCN) Groups and Substance Abuse Agency Model (SAAM) Groups: Updated Medicaid Policy for Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP)
Jan 22, 20212414New 2021 Diagnosis and Procedure Codes Related to COVID-19
Jan 19, 20212413Provider Type 86 Created for Specialized Foster Care Services
Jan 19, 20212412Submit Interest in COVID Vaccine
Jan 19, 20212411Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for Third Quarter 2020 Submissions
Jan 19, 20212410Claims that Cutback in Error Have Been Reprocessed
Jan 15, 20212409Attention All Providers: Non-Emergency Transportation is Available for Recipients to Receive the COVID Vaccine
Jan 14, 20212408COVID-19 Billing Guides Updated with COVID-19 Vaccine Information
Jan 14, 20212407Medicaid Services Manual Chapter 400 Updated
Jan 14, 20212406New Provider Orientation Scheduled for February 2021
Jan 14, 20212405Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for December 2020 Claims
Jan 13, 20212404Paper Remittance Advices Will No Longer Be Mailed to Providers
Jan 12, 2021Volume 17, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2020 Provider Newsletter)
Jan 11, 20212403Attention Vision Services Provider Types 25 (Optometrist) and 41 (Optician, Optical Business): Workshop Sessions Scheduled
Jan 11, 20212402Reminder For Orthodontia Providers: Use Current Orthodontic Medical Necessity (OMN) Form (FA-25) and Client Treatment History Form (For Medicaid Orthodontic Treatment) (FA-26)
Jan 11, 202124011099-Misc. Forms for 2020 Tax Year to be Mailed to Providers by January 31, 2021
Jan 08, 20212400Home and Community Based Waiver for Frail Elderly Provider Rate Changes Due to Assembly Bill 3
Jan 08, 20212399Update Regarding Claims for Some Novel Coronavirus (COVID-19) Testing Codes that Denied
Jan 07, 20212398Ownership/Controlling Interest Disclosure Information Required on Change/Update Request
Jan 05, 20212397Centers for Medicare & Medicaid Services (CMS) Temporarily Loosens National Correct Coding Initiatives (NCCI) Edits and the Medically Unlikely Edits (MUE)
Jan 04, 20212396Attention All Providers: 2021 Dual Eligible Special Needs Plans (D-SNP) Information
Dec 31, 20202395COVID-19 Vaccine Administration Coverage and Billing
Dec 30, 202023942021 Annual New Code Update
Dec 30, 20202393Update for Provider Types 30, 38, 39, 48, 55, 57, 58, 59 and 83: Web-based Serious Occurrence Report (SOR) Form
Dec 29, 20202392Attention All Provider Types: Claims Appeals, Adjustments and Voids Training Sessions Scheduled in 2021
Dec 28, 20202391Updated Medicare Part D Benefit Co-Pay for 2021
Dec 28, 20202390Attention Provider Types 13 (Psychiatric Hospital, Inpatient) and 63 (Residential Treatment Centers (RTC)): Inpatient Institutional Claims Reprocessed
Dec 23, 20202389Attention Providers Who Wish to Enroll with Nevada Medicaid to Administer the COVID-19 Vaccine
Dec 23, 20202388Frequently Asked Questions Regarding Rate Reductions per Assembly Bill (AB) 3
Dec 23, 20202387Attention All Provider Types: Secondary Claims Training Sessions Scheduled in 2021
Dec 23, 20202386Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2020 Claims
Dec 22, 20202385Attention Provider Type 39 (Adult Day Health Care – ADHC): 1915(i) Update Regarding Provider Enrollment Checklist
Dec 22, 20202384Attention All Providers: Revalidation and Changes Trainings Scheduled in 2021
Dec 21, 20202383COVID-19 Billing Guides Updated with CPT Codes 87636, 87637, 87811
Dec 21, 20202382Attention Provider Type 28 (Pharmacy): Nevada Medicaid Fee-for-Service Update Regarding COVID-19 Vaccine Administration Reimbursement (Updated May 24, 2021)
Dec 21, 20202381New Pharmacy Electronic Prior Authorization (ePA) System Implemented
Dec 21, 20202380Attention Provider Type 58 (Home and Community Based Waiver for Persons with Physical Disabilities): Physically Disabled Waiver Rate Changes Due to Assembly Bill 3
Dec 21, 20202379Attention Provider Type 22 (Dentist): Claims for Procedure Code D1351 Have Been Reprocessed
Dec 21, 20202378Professional and Outpatient Claims with Add-On Codes that Denied Have Been Reprocessed
Dec 21, 20202377Update to Institutional Claims Reprocessed for Denials with Error Code 2504 (Client Covered by Private Insurance)
Dec 21, 20202376Claims with Patient Liability Applied Incorrectly Have Been Reprocessed
Dec 18, 20202375Nevada 211 Youth App – Please Share with Youth Patients
Dec 16, 20202374COVID-19 Related Hospital Transfers
Dec 15, 20202373Hospital Responsibilities for Services Provided During an Inpatient Stay
Dec 15, 20202372Attention All Providers: Reading a Remittance Advice Training Sessions Scheduled in 2021
Dec 14, 20202371Attention All Providers: COVID Monoclonal Antibody Treatments
Dec 14, 20202370Attention Provider Type 68 (Intermediate Care Facilities for Individuals with Intellectual Disabilities / Private): Claims with Revenue Code 183 that Denied In Error Have Been Reprocessed
Dec 14, 20202369Update Regarding Surgery Claims Billed with Modifier 62 (Two Surgeons)
Dec 10, 20202368Attention All Providers: Please Participate in COVID-19 Vaccines Survey
Dec 10, 20202367New Provider Orientation Scheduled for January 2021
Dec 09, 202023662021 Annual New Code Update
Dec 01, 20202365Coming Soon: Links on the Nevada Medicaid Website to OptumRx Electronic Pharmacy Prior Authorization Function
Nov 30, 20202364Drug Use Review (DUR) Board Approves Changes Effective November 30, 2020
Nov 25, 20202363Urgent: Nevada Medicaid Pharmacy Services Issues Stop Coverage on Folixapure™ Effective November 25, 2020
Nov 25, 20202362Attention Vision Services Provider Types 25 (Optometrist) and 41 (Optician, Optical Business): Workshop Session Scheduled
Nov 24, 20202361Prior Authorization Requirements for Outpatient Facility Services for Recipients Ages Five and Below Updated in Medicaid Services Manual Chapter 1000 - Dental
Nov 23, 20202360Attention Inpatient Hospital Providers: Claims Denied with Error Code 2500 Have Been Reprocessed
Nov 20, 20202359Public Workshop Scheduled Regarding Policy Changes for Home and Community Based Services (HCBS) Waiver for Frail Elderly (FE)
Nov 19, 20202358Attention All Providers: Nevada Department of Health and Human Services Director’s Office Urges Youth Screening (Updated August 20, 2021)
Nov 17, 20202357New Electronic Verification System (EVS) User Manual Chapter 10: Report Download
Nov 17, 20202356Reminder Regarding Role-Based Security for Delegate Users in the Provider Web Portal
Nov 17, 20202355Attention All Providers: Top Prior Authorization Denial Reasons for the Third Quarter of 2020
Nov 16, 20202354Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for October 2020 Claims
Nov 16, 20202353Medicaid Services Manual Chapter 1200 Updated
Nov 13, 20202352Surgery Claims Billed with Modifier 62 (Two Surgeons)
Nov 10, 20202351Attention All Nevada Medicaid Providers: Please Participate in Dental Benefits Survey by November 24, 2020
Nov 10, 20202350Reminders Regarding Submitting Claim Appeals
Nov 10, 20202349COVID-19 Billing Guides Updated with CPT Codes 87426 and 86413
Nov 09, 20202348Attention All Providers: Reminder Regarding Nevada Medicaid Fiscal Agent Company Name Change to Gainwell Technologies
Nov 09, 20202347Nevada Check Up Claims Denied in Error Based on Age Restrictions Have Been Reprocessed
Nov 06, 20202346Error Code 1082 (Referring National Provider Identifier (NPI) Cannot be the Same as Servicing NPI)
Nov 05, 20202345Medicaid Management Information System Updated with NCCI Quarter 4 2020 Files
Nov 05, 20202344Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Nov 04, 20202343Urgent for All Providers: New Phase 3 Provider Relief Funding Expanded to Additional Providers; Deadline is Approaching
Nov 02, 20202342Attention Provider Type 22 (Dentist): Claims for Procedure Code D1353 Reprocessed and Dental Fee-for-Service Coverage, Limitations and Prior Authorization Requirements Updated
Nov 02, 20202341Updates Regarding National Correct Coding Initiative (NCCI) Quarter 2 2020 Files
Oct 29, 20202340New Provider Orientation Scheduled for December 2020
Oct 23, 20202339Update Regarding Claims with Drug Details Submitted for Emergency Services Only (EMO) Benefit Recipients
Oct 20, 20202338Attention Provider Type 32 Specialty 932 (Ambulance, Air or Ground): Use Modifiers to Bill Ambulance Services
Oct 19, 20202337Institutional Claims Denied with Error Codes 0683 or 0091 Reprocessed
Oct 19, 20202336Attention Provider Types 10 (Outpatient Surgery, Hospital Based) and 46 (Ambulatory Surgical Centers): Claims for Procedure Code 41899
Oct 19, 20202335Medicaid Services Manual Chapter 4000 Updated
Oct 16, 20202334Attention All Providers: Claim Error/EOB Codes and Corresponding ANSI Claim Adjustment Codes List and Accounts Receivable Reason Codes List Available Online
Oct 16, 20202333Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2021 Quarter 1 and Quarter 2 Rates Updates
Oct 15, 20202332Attention All Providers: Revalidation Process Reminders
Oct 14, 20202331Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2020 Claims
Oct 14, 20202330Medicaid Management Information System Updated with NCCI Quarter 3 2020 Files
Oct 13, 20202329Prior Authorization Requirements for 24-hour and Longer Electroencephalogram (EEG) Codes
Oct 13, 20202328Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (Palivizumab)
Oct 12, 20202327Update for Provider Types 30, 38, 39, 48, 57, 58, 59 and 83: Web-based Serious Occurrence Report (SOR) Form
Oct 12, 2020Volume 17, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2020 Provider Newsletter)
Oct 08, 20202326Attention All Providers: Nevada Medicaid Fiscal Agent Company Name Changes to Gainwell Technologies
Oct 08, 20202325Attention Provider Type 32 (Ambulance, Air or Ground): Denied Ground Emergency Medical Transportation (GEMT) Claims Reprocessed
Oct 07, 20202324Provision Allows for Permanent Waiver of Requirement for Only Physician to Sign Orders for Home Health Care Services
Oct 07, 20202323New Provider Orientation Scheduled for November 2020
Oct 05, 20202322Attention Orthodontia Providers (Provider Type 22, Specialty 079): Denied Prior Authorization Information
Oct 05, 20202321Attention Provider Types 10 (Outpatient Surgery, Hospital Based) and 12 (Hospital, Outpatient): Update Regarding Outpatient and Outpatient Crossover Ambulatory Surgical Center Claims Billed with Anesthesia
Oct 02, 20202320Attention All Providers: New Phase 3 Provider Relief Funding Available
Oct 02, 20202319Attention All Providers: Submit Licenses Electronically (Updated October 13, 2020)
Oct 02, 20202318Prescription Drug Coverage for Medication Assisted Treatment (MAT) Update
Sep 28, 20202317Attention Provider Types 22 (Dentist) and 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Remaining Amount Balance for the Remaining Dollar Balance Added to Electronic Verification System in “View Authorization Response”
Sep 28, 20202316Attention Providers Who Bill Procedure Code 99306 (Initial Nursing Facility Care, Per Day)
Sep 24, 20202315Prescription Drug Coverage for Medication Assisted Treatment (MAT) (Updated October 2, 2020)
Sep 24, 20202314Attention Provider Type 22 (Dentist): Claims Denied with Error Code 2504 Have Been Reprocessed
Sep 24, 20202313Attention Provider Types 10 (Outpatient Surgery, Hospital Based) and 12 (Hospital, Outpatient) Regarding Outpatient and Outpatient Crossover Ambulatory Surgical Center Claims Billed with Anesthesia
Sep 22, 20202312Prior Authorization Requirements Related to COVID-19 Treatment
Sep 21, 20202311Pharmacy Claims for Schedule II Drugs to Require Quantity Authorized by Prescriber
Sep 21, 20202310Attention Provider Type 34 (Therapy): Additional Training Sessions Scheduled
Sep 21, 20202309Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2020 Claims
Sep 18, 20202308Update Regarding Professional Crossover and Outpatient Crossover Claims that were not Reprocessed or Voided
Sep 17, 20202307Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Claims for Pharmaceuticals that Overpaid Will Be Reprocessed
Sep 16, 20202306Inpatient Institutional Medicare Part B Claims (Updated June 22, 2021)
Sep 14, 20202305Attention Provider Types 14 and 82 Rehabilitative Mental Health Providers: 16-Hour Training Requirement and Updated Enrollment Checklists for Qualified Mental Health Associate (QMHA) and Qualified Behavioral Aide (QBA)
Sep 14, 20202304Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Rate Increase for Procedure Code T2017
Sep 10, 20202303Medicaid Services Manual Chapter 1200 - Prescribed Drugs - Updated
Sep 10, 20202302Attention Provider Type 22 (Dentist): Claims Denied with Error Code 2504 Will Be Reprocessed
Sep 09, 20202301Claims Reprocessing Update Regarding NCCI Quarter 1 2019 and Quarter 2 2019 Claims
Sep 08, 20202300ICD-10 Diagnosis Codes Accepted by Nevada Medicaid Supporting Medical Necessity for Cesarean Section Document Updated
Sep 04, 20202299Claim Denials with Error Code 2504 (Client Covered by Private Insurance)
Sep 03, 20202298Urgent Update for All Providers: Provider Relief Fund Application Deadline Extended to September 13, 2020
Sep 01, 20202297New Provider Orientation Scheduled for October 2020
Sep 01, 20202296Attention Provider Type 22 (Dentist) Specialties 080 (Oral Surgery) and 170 (Maxillofacial Surgery) Providers: Claims Impacted by Updated Rates were Reprocessed
Aug 31, 20202295Drug Use Review (DUR) Board Approves Changes Effective August 31, 2020
Aug 31, 20202294Update Regarding Claims for Magnetic Resonance Imaging (MRI) Codes 77046, 77047, 77048 and 77049
Aug 28, 20202293DHCFP Issues Stop Coverage on Non-Rebate Products Effective August 28, 2020
Aug 28, 20202292Addition of OneTouch® Blood Glucose Meter to Preferred Nevada Medicaid Diabetic Supply Program
Aug 26, 20202291Reminder for Personal Care Services and Waiver Services Providers: Important Update Regarding New Claims Submissions
Aug 25, 20202290Urgent Reminder for All Providers: Provider Relief Fund Application Deadline is August 28, 2020
Aug 24, 20202289Urgent: Nevada Medicaid Pharmacy Services Issues Stop Coverage on Empricaine Kit II Effective August 21, 2020
Aug 24, 20202288Attention Provider Type 19 (Nursing Facility): Update Regarding Patient Driven Payment Model (PDPM) and Minimum Data Set (MDS) Changes
Aug 24, 20202287Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Mental Health Therapy Claim Denials Resolved
Aug 24, 20202286Claims with Evaluation and Management (E&M) Codes Billed with Procedure Codes 93303 and 93306
Aug 24, 20202285Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers): Family Planning Claims Reprocessed
Aug 21, 20202284Attention Prescribers and Pharmacies: Emergency Regulation Restricting Prescribing and Dispensing of Hydroxychloroquine and Chloroquine during Novel Coronavirus (COVID-19) Pandemic Has Expired
Aug 20, 20202283Telehealth Procedure Code Q3014 Claim Denials
Aug 19, 20202282Medicaid Services Manual Chapters Updated
Aug 18, 20202281Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician Assistant): Claims Reprocessed to Pay under Correct Fund Code
Aug 18, 20202280Reminder for Provider Types 29 (Home Health Agency), 39 (Adult Day Health Care) and 55 (Day and Residential Habilitation Services): Rate Surveys Due August 24, 2020
Aug 18, 20202279Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for July 2020 Claims
Aug 17, 20202278Provider Web Portal Access for Inactive Providers
Aug 17, 20202277Billing Instructions for Pharmacy Point of Sale (POS) Claims Exceeding $999,999.99
Aug 14, 20202276Urgent Reminder for All Providers: Deadline and Additional Resource Regarding Provider Relief Fund
Aug 11, 20202275Attention All Providers: Examples of Providers Eligible to Submit Provider Relief Fund Application
Aug 07, 20202274Attention Provider Type 60 (School Health Services): Billing Guide Updated
Aug 07, 20202273New Provider Orientation Scheduled for September 2020
Aug 06, 20202272Attention All Nevada Providers: Deadline for Provider Relief Fund Applications Extended to August 28, 2020
Aug 06, 20202271Attention Provider Type 60 (School Health Services): Billable Services Expanded
Aug 04, 20202270Update Regarding Rates for Some Novel Coronavirus (COVID-19) Testing Codes and Claims that Have Suspended or Denied
Aug 04, 20202269Attention Orthodontia Providers: Orthodontic Medical Necessity (OMN) Form (FA-25) and Client Treatment History Form (For Medicaid Orthodontic Treatment) (FA-26) Updated
Aug 03, 20202268Attention Personal Care Services and Waiver Services Providers: Important Claims Submission Update
Aug 03, 20202267Revalidation Due Date and License Number/Effective Dates will Populate in Provider Web Portal
Aug 03, 20202266Drug Use Review (DUR) Board Approves Changes Effective August 3, 2020
Aug 03, 20202265Certified Laboratory Improvement Amendments (CLIA) Number Required on Provider Type 43 (Laboratory, Pathology Clinical) Group Enrollment Applications
Aug 03, 20202264Online Provider Enrollment Applications Begin Collecting Drug Enforcement Administration (DEA) Information
Aug 03, 20202263Professional Claims Denied with Error Code 6100 Have Been Reprocessed
Jul 31, 20202262Update Regarding Professional Crossover and Outpatient Crossover Claims Payment Issue: Claims Have Been Reprocessed
Jul 31, 20202261Use Form FA-11F to Request Applied Behavior Analysis (ABA) Services for Recipients with a Fetal Alcohol Syndrome (FAS) Diagnosis
Jul 29, 20202260Attention Personal Care Services and Waiver Services Providers: Important Electronic Remittance Advice Information
Jul 28, 20202259Personal Care Services (PCS) Service Plans Must Be Downloaded as They Will No Longer Be Emailed
Jul 27, 20202258Attention Provider Types 29 (Home Health Agency), 39 (Adult Day Health Care) and 55 (Day and Residential Habilitation Services): Please Complete DHCFP Rate Review Surveys by August 24, 2020
Jul 24, 20202257Webcast Regarding Provider Relief Fund Application Process
Jul 24, 20202256Attention All Providers: Provider Revalidation Deadlines Extended Another 60 Days
Jul 23, 20202255Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for June 2020 Submissions
Jul 22, 20202254Attention All Providers: Top Prior Authorization Denial Reasons for the Second Quarter of 2020
Jul 20, 20202253Medication-Assisted Treatment (MAT) Services for Opioid Dependence
Jul 17, 20202252Urgent: Nevada Medicaid Pharmacy Services Issues Stop Coverage on DermacinRx Products Effective July 17, 2020
Jul 15, 20202251Attention All Nevada Providers: Deadline for Provider Relief Fund Has Been Extended to August 3, 2020 (Updated July 17, 2020)
Jul 15, 20202250Attention Dental Providers (Provider Type 22): Dentists Are Eligible for Provider Relief Fund and Must Apply by August 3, 2020 (Updated July 17, 2020)
Jul 15, 20202249Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for June 2020 Claims
Jul 14, 20202248COVID-19 Billing Guides Updated
Jul 14, 20202247Attention Provider Type 17 (Special Clinics) Specialty 166 (Family Planning): Family Planning Claims Reprocessed
Jul 13, 20202246Attention Provider Type (PT) 26 (Psychologist): Updates to Service Limits on Neuropsychological and Psychological Testing Services
Jul 13, 2020Volume 17, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2020 Provider Newsletter)
Jul 10, 20202245Medicaid Services Manual Chapters Updated
Jul 09, 20202244New Temporary Uninsured Aid Category for COVID-19 Services
Jul 09, 20202243New Provider Orientation Scheduled for August 2020
Jul 08, 20202242Attention All Providers: Additional Revalidation/Changes Trainings Scheduled in 2020
Jul 07, 20202241Attention All Providers: Training Calendar Reminder
Jul 02, 20202240Professional Claims and Professional Crossover Claims Impacted by Legacy Error Codes 0074 and 0075
Jul 02, 20202239M85.80 is a Valid ICD-10 Diagnosis Code; Denied Claims Have Been Reprocessed
Jul 02, 20202238Attention All Nevada Medicaid Providers: Authorization Criteria Function
Jun 30, 20202237Attention Provider Type 17 (Special Clinics) Specialty 166 (Family Planning Clinics): Procedure Codes Open Effective July 1, 2020
Jun 30, 20202236Attention Provider Type 63 (Residential Treatment Centers): New Prior Authorization Error Code
Jun 29, 20202235Psychosocial Rehabilitation (PSR) Services Telehealth Claims that Denied Have Been Reprocessed
Jun 29, 20202234Updates Regarding National Correct Coding Initiative (NCCI) Quarter 1 2020 Files
Jun 26, 20202233COVID-19 Billing Guides Updated
Jun 26, 20202232Attention Personal Care Services Providers: Update Regarding Claims for Procedure Code T1019
Jun 26, 20202231Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Claims for Thyroid Diagnostic Codes Reprocessed
Jun 23, 20202230Update on Claims for Current Procedural Terminology (CPT) Code 36573
Jun 18, 20202229Outpatient and Outpatient Crossover Claims Denied with Error Codes 3381, 3383 and 3385 Reprocessed
Jun 17, 20202228Attention All Providers: Reading a Remittance Advice Training Sessions Scheduled
Jun 17, 20202227Updates Regarding National Correct Coding Initiative (NCCI) Quarter 1 2020 Files
Jun 15, 20202226Search Fee Schedule Application Enhanced for Codes that Require Multiple Modifiers for Payment
Jun 15, 20202225Age Restriction Removed for Certain Childhood Diagnosis Codes and All Perinatal Diagnosis Codes
Jun 12, 20202224Attention Provider Type 34 (Therapy): Update Regarding Claims for Procedure Codes 97164 and 97168
Jun 11, 20202223Attention Behavioral Health Provider Types 14 and 82: Updates to Provider Enrollment Checklists (Updated May 16, 2022)
Jun 11, 20202222Attention Provider Type 20 (Physician, M.D., Osteopath, D.O): Procedure Code 76376 Open for Billing and Denied Claims Reprocessed
Jun 11, 20202221Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for May 2020 Claims
Jun 11, 20202220Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for May 2020 Submissions
Jun 10, 20202219Urgent Announcement Regarding Claims Suspending for Budget Relief
Jun 10, 20202218New Novel Coronavirus Testing and Diagnosis Procedure Codes (Updated July 9, 2020)
Jun 09, 20202217Age Range for Current Procedural Terminology (CPT) Code 36573 Updated
Jun 08, 20202216Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Echocardiography Codes for Pediatric Recipients
Jun 05, 20202215Attention Provider Type 13 (Psychiatric Hospital, Inpatient) Providers: Training Sessions Scheduled
Jun 04, 20202214New Provider Orientation Scheduled for July 2020
Jun 02, 20202213Nevada Medicaid COVID-19 Waiver Requests
Jun 01, 20202212COVID-19 Billing Guides
Jun 01, 20202211Attention All Providers: Providers Cannot Charge Nevada Medicaid Recipients for Personal Protective Equipment
Jun 01, 20202210Attention All Providers: Additional Provider Training Sessions Scheduled Regarding Telehealth during the Novel Coronavirus (COVID-19) Pandemic
May 28, 20202209Attention Provider Type 47 (Indian Health Services (IHS) and Tribal Clinics): Policy and Billing Instructions for Tribal Federally Qualified Health Centers (FQHCs)
May 28, 20202208Update to Telehealth Services Regarding Applied Behavior Analysis (ABA) Services
May 28, 20202207Attention All Providers: Provider Revalidation Deadlines Extended Another 60 Days
May 22, 20202206Attention Provider Type 22 (Dentist): Update Regarding Denial of Dental Claims with Radiology Codes
May 21, 20202205Claims with Drug Details Submitted for Emergency Services Only (EMO) Benefit Recipients
May 21, 20202204Obstetric Anesthesia Codes Payment Methodology
May 20, 20202203Attention All Providers: Provider Training Sessions Scheduled Regarding Telehealth during the Novel Coronavirus (COVID-19) Pandemic
May 20, 20202202Telehealth Billing Instructions for Outpatient Providers Submitting Institutional Claims
May 20, 20202201Reminders for Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Communication Devices Must Meet Basic Needs as Stated in Nevada Medicaid Policy
May 18, 20202200Rates for Dialysis Codes 90945 and 90999 Adjusted for 2020
May 18, 20202199Dental Therapist Added as Specialty 083 Under Provider Type 22 (Dentist)
May 15, 20202198Claims Paid from Nevada Check Up Fund Codes that Cut Back Have Been Reprocessed
May 14, 20202197Remdesivir Authorized for Novel Coronavirus (COVID-19) Treatment (Updated June 19, 2020)
May 14, 20202196Attention All Behavioral Health Community Network (BHCN) Groups (Provider Type 14 Specialty 814): Removal of Medical Supervision Requirement
May 13, 20202195Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Orthotic Devices that Paid in Error Have Been Reprocessed
May 12, 20202194Attention Provider Type 22 (Dentist): Dental Claims Impacted by Error Code 5505
May 12, 20202193Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for April 2020 Claims
May 11, 20202192Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for April 2020 Submissions
May 11, 20202191Attention Provider Type 63 (Residential Treatment Center) Providers: Training Sessions Scheduled
May 08, 20202190Attention Dental Providers: Update Regarding Claims for Procedure Codes D2930 and D2932
May 07, 20202189New Provider Orientation Scheduled for June 2020
May 07, 20202188Attention All Providers: Top Prior Authorization Denial Reasons for the First Quarter of 2020
May 06, 20202187Attention Provider Type 32 (Ambulance, Air or Ground): Denied Emergency Medical Transportation Claims
May 05, 20202186Division of Health Care Financing and Policy Conducting Review of Remittance Advice Content and Format
May 04, 20202185Attention Pharmacies: Override on Restriction for Contraceptives During Postpartum Period
May 01, 20202184Attention Provider Type 22 (Dentist): Claims for Dental Code D5821
Apr 30, 20202183Update to Telehealth Services Regarding Psychosocial Rehabilitation (PSR) Services
Apr 30, 20202182Attention Provider Type 32 (Ambulance, Air or Ground): Emergency Transportation Services Policy Updated
Apr 30, 20202181Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Procedure Code B4160 Receiving Procedure-to-Procedure (PTP) Error Codes
Apr 24, 20202180Attention All Providers: Out-of-State Providers Enrolling to Provide Services for Novel Coronavirus (COVID-19) Pandemic
Apr 24, 20202179Medicaid Management Information System Updated with NCCI Quarter 2 2020 Files
Apr 22, 20202178Attention All Providers: Guidelines for Billing Certain Conditions Originating in the Perinatal Period
Apr 17, 20202177Urgent Announcement Regarding Claims Suspending for Budget Relief
Apr 17, 20202176Prior Authorization Removed from Magnetic Resonance Imaging (MRI) Codes 77046, 77047, 77048 and 77049
Apr 17, 20202175Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies [DMEPOS]): Update Regarding Claims for Procedure Codes A7035, A7036, A7039, A7046 and E0580
Apr 17, 20202174Urgent Updates Regarding Professional Crossover and Outpatient Crossover Claims Payment Issue (Updated April 28, 2020)
Apr 17, 20202173Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2020 Claims (Updated April 27, 2020)
Apr 16, 20202172Update to Telehealth Services for Home Health and Hospice Agencies
Apr 16, 20202171Update Regarding Claims for Current Procedural Terminology (CPT) Code 87661 (Trichomonas Vaginalis, Amplified Probe Technique)
Apr 16, 2020Volume 17, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2020 Provider Newsletter)
Apr 15, 20202170Attention All Provider Types: Additional Secondary Claims Training Sessions Scheduled
Apr 14, 20202169Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Reminder to Use Appropriate Insulin Pump-related Supplies Procedure Codes
Apr 13, 20202168Attention Provider Type (PT) 19 Nursing Facilities: Delay in Quarterly Nursing Facility Rate Updates for Q4 2020 and Behaviorally Complex Care Program (BCCP) Authorizations
Apr 10, 20202167DHCFP Reminder to Adhere to Policy Regarding Recipient Billing
Apr 10, 20202166Attention Provider Type 74 (Nurse Midwife): Claims for Denied Codes Have Been Reprocessed
Apr 10, 20202165Attention Provider Type 17 (Special Clinics) Specialty 215 (Substance Abuse Agency Model): Procedure Code Q3014 May Be Billed
Apr 10, 20202164Outpatient and Physician Claims Denied with Error Code 7201 Have Been Reprocessed
Apr 08, 20202163Attention Provider Type 17 (Special Clinics): Pathology/Laboratory Procedure Code 83655 (Lead) Can Be Billed
Apr 08, 20202162Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 17 (Special Clinics) Specialty 215 (Substance Abuse Agency Model [SAAM]) Regarding Claims for Procedure Code H0035 that Denied with Error Code 5700
Apr 08, 20202161Attention All Providers: Revalidation Report Available for Providers
Apr 07, 20202160New Provider Orientation Scheduled for May 2020
Apr 07, 20202159Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for March 2020 Submissions
Apr 06, 20202158Sterilization Consent Form (FA-56) Updated
Apr 03, 20202157Attention Prescribers and Pharmacies: Temporary Prior Authorization Override to Allow Compounding of Certain Alcohol-Based Hand Sanitizer Products during Novel Coronavirus (COVID-19) Pandemic
Apr 03, 20202156Attention Provider Type 11 (Hospital, Inpatient): Update Regarding Claims for Intensive Care Unit Services
Apr 02, 20202155Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)): Updated Instructions for Using RT/LT Modifiers (Updated October 8, 2020)
Apr 02, 20202154Attention All Medicaid Providers: Payments for Services Rendered Will Continue during Novel Coronavirus (COVID-19) Emergency; Small Business Administration Contact Information
Mar 31, 20202153Attention Provider Type 17 (Special Clinics): Update Regarding Medicare Crossover Claims and Submitting Encounters as Fee-for-Service Professional Claims
Mar 31, 20202152Medicaid Services Manual Chapters Updated
Mar 31, 20202151Nevada Telehealth Memo - March 27, 2020 Update
Mar 27, 20202150Attention End Stage Renal Disease (ESRD) Facilities: Pharmaceuticals Included in Prospective Payment System (PPS)
Mar 26, 20202149Telehealth Billing Guidelines
Mar 26, 20202148Attention All Provider Types: Secondary Claims Training Sessions Scheduled in 2020
Mar 26, 20202147Attention Personal Care Services and Waiver Services Providers: Submit Adjustment or Void Claim Requests through Provider Web Portal
Mar 25, 20202146Attention Prescribers and Pharmacies: Emergency Regulation on Prescribing and Dispensing Hydroxychloroquine and Chloroquine during Novel Coronavirus (COVID-19) Pandemic
Mar 25, 20202145Attention All Providers: Directives Regarding Provider Enrollment
Mar 24, 20202144Nevada Medicaid Novel Coronavirus (COVID-19) Webpage
Mar 20, 20202143Attention Prescribers and Pharmacies: Hydroxychloroquine and Chloroquine Diagnosis Requirements on Prescriptions and Guidance for Treatment of Novel Coronavirus (COVID-19) (Updated March 24, 2020)
Mar 20, 20202142Nevada Telehealth Memo Update Effective March 19, 2020
Mar 19, 20202141COVID-19 Nevada Telehealth Memo and Resource Guide
Mar 19, 20202140Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Novel Coronavirus Testing and Diagnosis Procedure Codes
Mar 18, 20202139Attention All Providers: Claims Denied with Error Code 4820 Have Been Reprocessed
Mar 17, 20202138CPT Code 90686 (Fluarix®) is FDA-Approved and is a Vaccine for Children (VFC) Vaccine
Mar 17, 20202137Pharmacy “Refill Too Soon Waiver” Implemented in Response to Coronavirus Disease (COVID-19) Threat
Mar 17, 20202136March 2020 Silver State Scripts Board Meeting Update
Mar 13, 20202135Rates for 2020 New Code Updates Entered in Medicaid Management Information System (MMIS)
Mar 13, 20202134Policy, Coverage and Limitations for Obstetrical Ultrasounds During Pregnancy
Mar 13, 20202133Maternal Depression Screening Information
Mar 12, 20202132Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)): Claims for Procedure Code L4361
Mar 12, 20202131Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for February 2020 Claims (Updated April 27, 2020)
Mar 11, 20202130Attention All Providers: Reminders Regarding Submitting Claim Appeals
Mar 11, 20202129Attention All Providers: Prior Authorization Requests Denied for Overlapping Services
Mar 11, 20202128Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for February Submissions
Mar 10, 20202127Attention All Providers Whose Services Overlap with Provider Types 13 (Psychiatric Hospital, Inpatient) or 63 (Residential Treatment Center)
Mar 10, 20202126Attention Provider Type 63 (Residential Treatment Center): Billing Codes Reminder
Mar 10, 20202125New Provider Orientation Scheduled for April 2020
Mar 10, 20202124Nevada Medicaid No Longer Uses Abortion Affidavit Forms FA-52 and FA-53
Mar 09, 20202123Attention Provider Types 39 (Adult Day Health Care - ADHC) and 55 (Habilitation Services): 1915(i) Services Prior Authorization Changes
Mar 05, 20202122Instructions for 2020 Procedure Codes Requiring Prior Authorization
Mar 03, 20202121Attention Provider Type 34 (Therapy): Training Sessions Scheduled
Mar 03, 20202120Updated Details Regarding Diabetic Supply Policy Changes
Mar 03, 20202119Prior Authorization System Updated to Allow Providers to Choose Service Location
Mar 03, 20202118Attention Provider Type 22 (Dentist) Specialty 079 (Orthodontia): Claims Denied with Error Code 0463 Reprocessed
Mar 02, 20202117Attention All Providers: Frequently Asked Questions (FAQs) for the Electronic Verification System (EVS)
Feb 28, 20202116Drug Use Review (DUR) Board Approves Changes Effective March 2, 2020
Feb 28, 20202115Attention Dental Providers: Claims for Procedure Codes D2930 and D2932
Feb 28, 20202114Attention Provider Type 34 (Therapy): Claims for Procedure Codes 97164 and 97168
Feb 28, 20202113Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Wheelchair Accessory Procedure Code E1012
Feb 27, 20202112Attention Personal Care Services Providers: Claims for Procedure Code T1019 Denied as Duplicate
Feb 27, 20202111DHCFP to Host Diabetic Supply Preferred Product Educational Webinar
Feb 21, 20202110Attention Dental and Orthodontia Providers: Training Sessions Scheduled
Feb 21, 20202109Protocol Change for Billing Vaccines For Children (VFC) Vaccine Administration Fees; Impacted Claims Reprocessed
Feb 21, 20202108Attention Provider Type 11 (Hospital, Inpatient): Some Intensive Care Unit Rates Updated
Feb 20, 20202107Attention Provider Types 34 (Therapy) and 85 (Applied Behavior Analysis): Update Regarding Claims for Procedure Codes 97153, 92507 and 97155
Feb 20, 20202106Attention Waiver Providers: Claims Denied with Error Code 4758 Have Been Reprocessed
Feb 18, 20202105Ordering, Prescribing and Referring (OPR) Providers Are Not Allowed Access to Secure Provider Web Portal
Feb 18, 20202104Attention Provider Type 63 (Residential Treatment Centers): Claims that Cutback in Error Reprocessed
Feb 14, 20202103Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2020 Claims
Feb 13, 20202102Attention Hospice Providers: Training Sessions Scheduled
Feb 13, 20202101New Provider Orientation Scheduled for March 2020
Feb 11, 20202100Attention Behavioral Health Providers: Training Sessions Scheduled
Feb 07, 20202099Attention Provider Types 13 Psychiatric Hospital, Inpatient) and 63 (Residential Treatment Center): Update on Claims that Denied with Error Codes 5003 and 5004
Feb 07, 20202098Update Regarding Claims Denied for Invalid Certified Laboratory Improvement Amendments (CLIA) Certification
Feb 06, 20202097Updates to Diabetic Supply Policy Changes
Feb 06, 20202096Attention Provider Type 85 (Applied Behavior Analysis): Training Sessions Scheduled
Feb 05, 20202095Provider Documentation Reminders
Feb 04, 20202094Attention All Behavioral Health Community Network (BHCN) Groups, Provider Type 14 Specialty 814: Responses to Questions on the Proposed Removal of Medical Supervision from the BHCN
Feb 04, 20202093Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)): Update and Resolution Regarding Ordering Provider Information on Claims
Feb 04, 20202092Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for January 2020 Submissions
Jan 31, 20202091Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Procedure Code A4231
Jan 29, 20202090Attention Provider Type (PT) 19 Nursing Facility: Specialty Level of Care (LOC) Authorization Requests
Jan 28, 20202089Medicaid Services Manual Chapters Updated
Jan 28, 20202088Attention Provider Type 22 (Dentist): Issue Resolved Regarding Claims that Denied with Error Code 5064 (Updated August 14, 2020)
Jan 27, 20202087Attention Sister Agency Providers: Federal Medical Assistance Percentages (FMAP) Rates Based on Date of Service for FFY20
Jan 27, 20202086Attention Provider Type 60 (School Based): Rates Updated (Updated January 31, 2020)
Jan 27, 20202085Update Regarding Claims for Current Procedural Terminology (CPT) Code 87806 (HIV-1 Antigen)
Jan 23, 20202084Reminder for Provider Types 25 (Optometrist), 41 (Optician, Optical Business) and 60 (School Based): Rate Surveys Due January 31, 2020
Jan 22, 20202083Reminder: Wage and Benefit Survey for Home and Community Based Waiver for the Frail Elderly Providers Closes January 31, 2020
Jan 22, 20202082Webinar Scheduled Regarding Clinical and Economic Value of Continuous Glucose Monitoring and Improved Time in Range
Jan 22, 20202081New Provider Orientation Scheduled for February 2020
Jan 20, 20202080Update Regarding Claims for Radiology Scans
Jan 20, 202020791099-Misc. Forms to be Mailed to Providers on January 31, 2020
Jan 17, 20202078Current Procedural Terminology (CPT) Code 87661 (Trichomonas Vaginalis, Amplified Probe Technique) To Be Open for Billing
Jan 17, 20202077Attention Provider Type 34 (Therapy): Update Regarding Suspended and Denied Claims (Updated January 30, 2020)
Jan 16, 20202076Attention Provider Type 11 (General Acute Hospital, Inpatient): Rate Increases Effective January 1, 2020
Jan 16, 20202075Provider Relations Field Service Representative Team Territories Update
Jan 15, 20202074Attention All Providers: Maintain Correct Electronic Funds Transfer (EFT) Information with Nevada Medicaid
Jan 15, 20202073Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for December 2019 Claims
Jan 13, 2020Volume 16, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2019 Provider Newsletter)
Jan 10, 20202072Attention All Providers: Top Prior Authorization Denial Reasons for the Fourth Quarter of 2019
Jan 09, 20202071Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for November and December 2019 Submissions
Jan 08, 20202070Attention Provider Type 12 (Hospital, Outpatient): Claims for Procedure Codes 92522 and 92524
Jan 08, 20202069Attention All Provider Types: Claims Appeals, Adjustments and Voids Training Sessions Scheduled in 2020
Jan 06, 20202068Katie Beckett Recipient Eligibility Information Added to Electronic Verification System (EVS) and the Automated Response System (ARS)
Jan 06, 20202067Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Procedure Code A7033
Jan 03, 20202066Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2020 Quarter 3 Rates Update
Jan 02, 20202065Attention All Providers: Revalidation and Changes Trainings Scheduled in 2020
Jan 02, 20202064Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Procedure Code A4456
Jan 02, 20202063Limitation Error Codes on Claims for Certain Ocular Procedure Codes
Jan 02, 20202062Notification Regarding Claims with Revenue Codes 200 through 229 that Denied in Error
Dec 30, 20192061Diabetic Supply Policy Changes for Nevada Medicaid
Dec 30, 20192060Personal Care Services Provider Rate Increase Effective January 1, 2020
Dec 27, 20192059Attention Provider Type 17 (Special Clinics): Update Regarding Medicare Crossover Claims and Submitting Encounters as Fee-for-Service Professional Claims (Updated March 27, 2020)
Dec 24, 201920582020 New Code Updates
Dec 24, 20192057New Provider Orientation Scheduled for January 2020
Dec 23, 20192056Medicare Part D Co-Pay Reimbursement Increase for 2020
Dec 23, 20192055Attention All Nevada Medicaid Providers: Update Regarding Claims Denied with Error Code 2502 (Client Covered by Medicare B)
Dec 19, 20192054Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for November 2019 Claims
Dec 19, 20192053New Professional Anesthesia Services Claims Error Code
Dec 18, 20192052Update for Provider Types 14 (Behavioral Health Outpatient Treatment) and 17 (Special Clinics) Specialty 215 (Substance Abuse Agency Model [SAAM]) Regarding Claims for Procedure Code H0035
Dec 17, 20192051Attention Provider Types 23 (Hearing Aid Dispenser & Related Supplies) and 76 (Audiologist): Update Regarding 2019 Hearing Aid Procedure Codes
Dec 17, 20192050Medicaid Services Manual Update Effective December 2, 2019
Dec 16, 20192049Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims that Processed Incorrectly with Authorization on File Have Been Reprocessed
Dec 16, 20192048Attention Provider Types 25 (Optometrist), 41 (Optician, Optical Business) and 60 (School Based): Assembly Bill 108 Provider Survey Announcement
Dec 13, 20192047Wage and Benefit Survey Open for Home and Community Based Waiver for the Frail Elderly Providers
Dec 13, 20192046Attention Provider Type 22 (Dentist): Fluoride Toothpaste Coverage
Dec 12, 20192045Medicaid Services Manual Chapter 1200 - Prescribed Drugs Updates
Dec 12, 20192044Attention All Providers: Prior Authorization Requests Denied for Overlapping Services
Dec 11, 20192043Reminder: Nevada Medicaid Reimburses for Laboratory Lead Testing and Essential Laboratory Services
Dec 11, 20192042Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for October 2019 Claims
Dec 04, 20192041Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies [DMEPOS]): Claims for Procedure Codes A7035, A7036, A7039, A7046 and E0580
Dec 04, 20192040Diabetic Supply Policy Changes for Nevada Medicaid
Dec 03, 20192039Attention All Providers: Resources to Use for Prior Authorization Issues or Questions
Dec 03, 20192038Nevada 837 Electronic Claims and Attachments Full Functionality Implemented
Dec 02, 20192037Drug Use Review (DUR) Board Approves Changes Effective December 2, 2019
Nov 27, 20192036Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for October 2019 Submissions
Nov 26, 20192035Claims for Current Procedural Terminology (CPT) Code 87806 (HIV-1 Antigen)
Nov 26, 20192034Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): Update Regarding State Fiscal Year 2020 Quarter 1 Rates
Nov 26, 201920332020 New Code Updates
Nov 25, 20192032Attention Hospital Providers: Off-Campus Locations of Hospitals Must Use Distinct National Provider Identifier
Nov 20, 20192031Instructions for Updating Patient Liability Amounts on Inpatient Claims
Nov 19, 20192030Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Nov 19, 20192029Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for September 2019 Submissions
Nov 18, 20192028Reminder to All Providers Who Prescribe or See Recipients Who Utilize Durable Medical Equipment
Nov 18, 20192027Update Regarding Indian Health Program Rates Adjusted for Calendar Year 2019
Nov 18, 20192026Attention All Nevada Medicaid Providers: Claims Denied with Error Code 2502 (Client Covered by Medicare B)
Nov 18, 20192025Attention Provider Type 12 (Hospital, Outpatient): Rates for Durable Medical Equipment (DME) Updated
Nov 15, 20192024Brand Voltaren® Gel Unavailable
Nov 15, 20192023New Provider Orientation Scheduled for December 2019
Nov 14, 20192022Diabetic Supply Policy Changes for Nevada Medicaid
Nov 13, 20192021Attention All Providers: Top Prior Authorization Denial Reasons for the Third Quarter of 2019
Nov 12, 20192020Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for September 2019 Claims
Nov 06, 20192019Attention Indian Health Services and School Based Providers: Electronic Funds Transfer (EFT) Information Required Upon Enrollment
Nov 04, 20192018New Provider Specialty for Community Paramedicine
Nov 04, 20192017Attention All Hospital Providers: Inpatient Crossover and Outpatient Crossover Claims
Nov 04, 20192016Medicaid Services Manual Chapters Updated
Nov 01, 20192015Attention All Providers: Claims for Nevada Medicaid Non-Covered Services
Nov 01, 20192014Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 26 (Psychologist): Psychological and Neuropsychological Testing Codes for Provider Type 14
Oct 31, 20192013Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Do Not Use NU Modifier on Prior Authorization Requests for L Codes
Oct 31, 20192012Attention Provider Type 12 (Hospital, Outpatient): Respiratory Therapy Codes
Oct 31, 20192011Professional Anesthesia Services Claims Billing Instruction
Oct 30, 20192010Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Procedure Code B4160 Receiving Procedure-to-Procedure (PTP) Error Codes
Oct 24, 20192009Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled
Oct 24, 20192008Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) Files Updated in Medicaid Management Information System (MMIS)
Oct 23, 20192007Attention Provider Types 23 (Hearing Aid Dispenser & Related Supplies) and 76 (Audiologist): 2019 Hearing Aid Procedure Codes
Oct 21, 20192006Attention Provider Types 64 (Hospice) and 65 (Hospice, Long Term Care): Reminder Regarding Medical Necessity Criteria
Oct 21, 20192005Attention Physicians and Laboratories Regarding Presumptive and Definitive Drug Screening
Oct 18, 20192004Claims for Current Procedural Terminology (CPT) Code 90461 (Immunization Administration)
Oct 18, 20192003Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) Files Updated in Medicaid Management Information System (MMIS)
Oct 17, 20192002Date of Decision for Retrospective Eligibility in Electronic Verification System (EVS)
Oct 17, 20192001Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 17 (Special Clinics) Specialty 215 (Substance Abuse Agency Model [SAAM]): Procedure Code H0035
Oct 17, 20192000Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Oct 16, 20191999New Provider Orientation Scheduled for November 2019
Oct 15, 20191998Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers) that Submit Outpatient Hospital Claims to Medicare
Oct 11, 20191997Inpatient and Outpatient Behavioral Health Prior Authorization Forms Updated
Oct 11, 20191996Attention Provider Type 17 (Special Clinics) Specialty 215 (Substance Abuse Agency Model [SAAM]): Please Respond to DHCFP Rate Review Surveys by November 11, 2019
Oct 11, 20191995Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 26 (Psychologist): Please Respond to DHCFP Rate Review Surveys by November 11, 2019
Oct 10, 20191994Attention Waiver Services Providers: Claims Denying with Error Code 4820 (Aid Code Not Eligible for Procedure)
Oct 09, 20191993Attention All Providers: Reading a Remittance Advice Training Sessions Scheduled
Oct 07, 20191992Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (Palivizumab)
Oct 07, 2019Volume 16, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2019 Provider Newsletter)
Oct 07, 20191991Attention Provider Type 19 (Nursing Facility): Patient Driven Payment Model (PDPM) and Minimum Data Set (MDS) Changes
Oct 04, 20191990Lens Supply Procedure Code V2744 Is Not A Covered Service
Oct 04, 20191989Medicaid Management Information System Updated with NCCI Quarter 4 2019 Files
Oct 02, 20191988Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Update Regarding Claims for Surgical Procedure Codes
Oct 01, 20191987Modernization: URGENT: Paper Submissions Are No Longer Returned to Providers
Oct 01, 20191986Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (SUPPORT Act) Compliance
Oct 01, 20191985Attention Provider Type 21 (Podiatrist): Claims for Procedure Code Q4101
Sep 30, 20191984Attention All Providers: Top 10 Enrollment Return Reasons and Resolutions for August 2019 Submissions
Sep 30, 20191983Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2020 Quarter 2 Rates Update
Sep 30, 20191982Attention Provider Type 64 (Hospice): Annual Rate Update Implemented
Sep 30, 20191981Update Regarding Claims for Procedure Code V5261 (Hearing Aid)
Sep 27, 20191980Urgent Electronic Visit Verification (EVV) Implementation Update
Sep 25, 20191979Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2019 Claims
Sep 25, 201919782019 Electroretinography and Gene Analysis Codes
Sep 24, 20191977Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (SUPPORT Act) Compliance
Sep 20, 20191976Attention Provider Type 38 (Waiver for Individuals with Intellectual and Developmental Disabilities): Procedure Code T2025 Replaces Codes T2024 and 96152 (Updated October 30, 2019)
Sep 20, 20191975Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Sep 18, 20191974Attention All Providers: Enrollment and Revalidation Training Materials Now Available
Sep 17, 20191973Attention Provider Type 17 (Special Clinics): Update Regarding Medicare Crossover Claim Denial Process
Sep 16, 20191972Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Codes for Medical and Surgical Supplies, Durable Medical Equipment and Orthotic Devices Open for Billing
Sep 16, 20191971Nevada 837 Electronic Claims and Attachments Functionality Implementation Delayed (Updated September 20, 2019)
Sep 16, 20191970Update Regarding Reprocessing of Claims with ICD-10 Glaucoma Codes
Sep 13, 20191969New Provider Orientation Scheduled for October 2019
Sep 10, 20191968Urgent: Physician-Administered Drug (PAD) Claim Processing
Sep 09, 20191967Modernization: FINAL REMINDER - Paper Submissions Will No Longer Be Returned
Sep 04, 20191966Pharmacy Website Updated to Display Silver State Scripts Board
Sep 03, 20191965Drug Use Review (DUR) Board Approves Changes Effective September 2, 2019
Aug 30, 20191964URGENT: Electronic Visit Verification (EVV) Implementation Update
Aug 30, 20191963Attention All Providers: Revalidation and Changes Trainings Scheduled
Aug 30, 20191962Prior Authorization No Longer Required for Radiology Scans (Updated September 13, 2019)
Aug 29, 20191961Coming Soon: Nevada 837 Electronic Claims and Attachments
Aug 28, 20191960Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Rates for Surgical Procedure Codes Updated
Aug 26, 20191959Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Pediatric Enteral Formula May Be Billed for Age 21 and Older
Aug 23, 20191958Attention All Providers: Top 10 Claim Denial Reasons and Resolutions/Workarounds for June 2019 Claims
Aug 23, 20191957Attention Provider Type 34 (Therapy): Update Regarding Suspended Claims
Aug 22, 20191956Claims for Procedure Code V5261 (Hearing Aid)
Aug 22, 20191955Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Aug 20, 20191954FA-100 - Initial Emergency Dialysis Case Certification Form
Aug 19, 20191953Attention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 26 (Psychologist): Psychological Assistants, Interns and Trainees Required to Enroll Under Provider Type 26
Aug 19, 20191952Electronic Visit Verification (EVV) Implementation Go-Live Date Update
Aug 19, 20191951Attention Provider Type 22 (Dentist): Dental Radiology and Exam Codes
Aug 19, 20191950Updated Provider Enrollment Status Descriptions
Aug 16, 20191949Limitations for Procedure Code H2011 (Crisis Intervention Service) – Three Occurrences Allowed within 90 Rolling Days
Aug 16, 20191948New Provider Orientation Scheduled for September 2019
Aug 14, 20191947Attention Provider Type 63 (Residential Treatment Centers): Submission Requirements for Claims with Prior Authorizations
Aug 14, 20191946Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) Files Updated in Medicaid Management Information System (MMIS)
Aug 13, 20191945Electronic Visit Verification (EVV) Implementation Reminders
Aug 12, 20191944Non-emergent Hospital or Level of Care Transfers Require Authorization Prior to Transfer (Updated August 30, 2022)
Aug 09, 20191943Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2020 Quarter 1 Rates Update
Aug 09, 20191942Modernization: Paper Submissions Will No Longer Be Returned
Aug 06, 20191941Other Health Coverage (OHC) Non-covered Services Billing Instructions (Updated September 20, 2023)
Aug 05, 20191940Timeout Period in Provider Web Portal
Jul 26, 20191939DHCFP Delays Implementation of Error Code Created to Identify when Diagnosis Code is not Valid for Procedure Codes on Claims (Updated September 12, 2019)
Jul 25, 20191938Update to Compounded Medications Prior Authorization Requirement
Jul 22, 20191937Attention Provider Type 81 (Hospital Based ESRD Provider): Update on Claims for Procedure Codes 90945 and 90999 that Denied in Error
Jul 18, 20191936Update Regarding Claims for Dialysis Codes 90945 and 90999
Jul 17, 20191935Attention All Providers: Uncashed Checks Removed from Remittance Advices
Jul 17, 20191934Attention Provider Types 34 (Therapy) and 85 (Applied Behavior Analysis): Claims for Procedure Codes 97153 and 92507
Jul 17, 20191933New Provider Orientation Scheduled for August 2019
Jul 15, 20191932Urgent Notice for Behavioral Health Providers: Moratorium Has Ended on Enrollment for Specialty 301 (Qualified Mental Health Associates) and Specialty 302 (Qualified Behavioral Aides)
Jul 15, 20191931Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Codes for Incontinence Product, Cochlear Device and Burn Garments Updated
Jul 15, 20191930Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Codes for Orthotic Devices and Procedures Open for Billing
Jul 15, 20191929Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Prior Authorization Training Sessions Scheduled
Jul 12, 20191928Silver State Scripts Board Replaces Pharmacy and Therapeutics (P&T) Committee
Jul 11, 20191927Modernization: Update Regarding Timely Filing Requirements Related to Retro-eligibility
Jul 11, 20191926Modernization Update: Date of Decision for Recipient Eligibility Available in Electronic Verification System (EVS)
Jul 11, 20191925Medicaid Services Manual Chapters Updated
Jul 10, 20191924Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Nevada Medicaid Reimbursement per Institution for Mental Disease (IMD) Guidelines (Updated July 15, 2019)
Jul 09, 20191923Modernization: Paper Submissions Will No Longer Be Returned
Jul 08, 2019Volume 16, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2019 Provider Newsletter)
Jul 03, 20191922Reminder for All Providers: Medicaid Management Information System Uses National Correct Coding Initiative (NCCI) Files to Edit Claims
Jul 02, 20191921Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding the Reprocessing of Claims for Orthotic Procedure Code L2200
Jul 01, 20191920Urgent Announcement: Update Regarding Claims Suspended for Budget Relief
Jun 28, 20191919Medicaid Management Information System Updated with NCCI Quarter 3 2019 Files
Jun 28, 20191918Modernization: Attention All Providers: Some 2019 Procedure Codes Incorrectly Denied with Error Code 4014 (No Pricing Segment on File)
Jun 25, 20191917Modernization: Instructions for Provider Type 65 (Hospice, Long Term Care) Regarding Type of Bill
Jun 24, 20191916Attention Physicians: Include Facility Information on Companion Prior Authorization Requests
Jun 20, 20191915Attention Personal Care Services Providers: Transfer Process Changes Due to Electronic Visit Verification (EVV)
Jun 20, 20191914New Provider Orientation Scheduled for July 2019
Jun 18, 20191913Attention Provider Type 85 (Applied Behavior Analysis) Specialty 314 (Registered Behavior Technician (RBT)): State Board Registration Deadline
Jun 17, 20191912Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims May Be Submitted with Two Payment Modifier Combinations
Jun 12, 20191911Compounded Medications Require Prior Authorization Effective June 3, 2019
Jun 12, 20191910New and Updated Pharmacy Prior Authorization Forms
Jun 05, 20191909Medicaid Services Manual Chapter 1200 Updated
Jun 04, 20191908Notification Regarding Provider Signatures on Prior Authorization Forms
Jun 03, 20191907Attention Provider Types 15 (Registered Dietitian), 30 (Personal Care Aide – Provider Agency), 54 (Targeted Case Management), 83 (Personal Care Aide – Intermediary Service Organization): DHCFP Rate Reviews per Assembly Bill 108
May 31, 20191906Update for All Provider Types Including Provider Type 85 (Applied Behavior Analysis): Claims Denying or Cutback In Error with Edit Code 0155 Have Been Reprocessed
May 31, 20191905Drug Use Review (DUR) Board Approves Changes Effective June 3, 2019
May 28, 20191904Instructions for 2019 Procedure Codes Requiring Prior Authorization
May 24, 20191903Urgent Announcement: Claims Suspending for Budget Relief
May 23, 20191902Attention All Providers: Current Instructions for Billing Vaccines for Children and Adults
May 23, 20191901Attention Provider Type 34 (Therapy): Training Sessions Scheduled
May 22, 20191900New Provider Orientation Scheduled for June 2019
May 21, 20191899Modernization: Requirements for Completing an Application, Revalidation or Re-enrollment Differ for Individual Providers and Group Providers
May 17, 20191898Limitations for Procedure Code H2011 (Crisis Intervention Service)
May 17, 20191897Attention Provider Type 14 (Behavioral Health Outpatient Treatment) Specialty 301 (Qualified Mental Health Associate): Limitation for Code H0034
May 17, 20191896Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
May 16, 20191895Attention All Providers: Use Current Forms for Requesting Prior Authorization
May 16, 20191894Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)): Use Current DMEPOS Specific Prior Authorization Forms
May 15, 20191893Attention Hospice Providers: Training Sessions Scheduled
May 13, 20191892Attention Dental Providers: Claims for Procedure Code D0350
May 10, 20191891Prior Authorization to be Required to Exceed Drug Screen Limitations
May 09, 20191890Attention Dental and Orthodontia Providers: Training Sessions Scheduled
May 06, 20191889Attention Provider Type 74 (Nurse Midwife): Home Visit Procedure Codes
May 06, 20191888Nevada Medicaid Human Papillomavirus (HPV) Vaccine Policy Effective May 6, 2019
May 03, 20191887Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2019 Quarter 4 Rate Update
May 02, 20191886Attention Provider Type 85 (Applied Behavior Analysis): Training Sessions Scheduled
Apr 29, 20191885Attention Provider Type 63 (Residential Treatment Centers): Policy Regarding Type/Length of Stays and Billing
Apr 29, 20191884Modernization: Attention All Providers: Update Regarding Customer Service Call Center Hours
Apr 26, 20191883Behavioral Health Outpatient or Rehabilitative Authorization Request Form Updated
Apr 17, 20191882New Provider Orientation Scheduled for May 2019
Apr 12, 20191881Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Wheelchair Accessory Procedure Code E1012 Effective Date Revised
Apr 11, 20191880Attention Residential Facilities for Groups and Assisted Living (Provider Types 57 and 59): Approved Augmented Personal Care (APC) Service Level (SL) 4; Training Scheduled for April 22, 2019
Apr 10, 20191879Attention All Providers: Training Sessions Scheduled to Assist with Reading a Remittance Advice
Apr 10, 20191878Medicaid Management Information System Updated with NCCI Quarter 2 2019 Files
Apr 10, 2019Volume 16, Issue 1Nevada Medicaid and Nevada Check Up News (First Quarter 2019 Provider Newsletter)
Apr 08, 20191877Attention Provider Type 12 (Hospital, Outpatient): Rates for Durable Medical Equipment (DME) Updated
Apr 08, 20191876Attention Behavioral Health Providers: Training Sessions Scheduled
Apr 08, 20191875Attention Provider Type 21 (Podiatry): Update Regarding Reprocessed Claims
Apr 04, 20191874Attention All Providers: Requesting Prior Authorization of Laboratory Testing for Drug Screening
Apr 04, 20191873Attention Provider Types 15 (Registered Dietitian), 30 (Personal Care Aide – Provider Agency), 54 (Targeted Case Management), 83 (Personal Care Aide – Intermediary Service Organization): DHCFP Rate Reviews per Assembly Bill 108
Apr 03, 20191872Attention Provider Types 12 (Hospital, Outpatient) and 20 (Physician, M.D., Osteopath, D.O.): Radiation Therapy and Temporary Q Procedure Codes Reinstated
Mar 29, 20191871Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Items Subject to DMEPOS Competitive Bidding Program Number 3 Supplied with Complex Rehabilitative Power Group 3 Wheelchairs
Mar 29, 20191870Modernization: Attention All Providers: Instructions for Reading a Remittance Advice
Mar 28, 20191869Attention Behavioral Health Providers: Effective January 1, 2019, New 2019 Procedure Codes for Psychological and Neuropsychological Testing Services
Mar 28, 20191868Modernization: Attention Individual and Group Providers: Information Regarding How to Link and Unlink Providers
Mar 26, 20191867Attention Ambulatory Surgical Centers Providers: Rate for Procedure Code 41899 Updated
Mar 26, 20191866Modernization: Reminder for All Providers: Nevada Medicaid Is Now Paperless!
Mar 25, 20191865Viewing Medicare Eligibility in the Electronic Verification System (EVS)
Mar 21, 201918641099-Misc. Forms Mailed to Providers on January 21, 2019
Mar 21, 20191863New Provider Orientation Scheduled for April 2019
Mar 19, 20191862Update: Rates for the New 2019 Codes Have Been Implemented in Medicaid Management Information System
Mar 19, 20191861Indian Health Program Rates Adjusted for Calendar Year 2019
Mar 19, 20191860Rates for Dialysis Codes 90945 and 90999 Adjusted for 2019
Mar 18, 20191859Reminder for Provider Types 14 (Behavioral Health), 26 (Psychologist), 82 (Behavioral Health Rehabilitative Treatment), 85 (Applied Behavioral Analysis): Rate Surveys Due March 31, 2019
Mar 15, 20191858Attention All Provider Types: Upcoming Training Sessions Regarding Claims Appeals, Adjustments and Voids
Mar 15, 20191857Drug Use Review (DUR) Board Approves Changes Effective February 4, 2019
Mar 14, 20191856Nevada Medicaid Drug Use Review Board Votes to Adopt Policy on Outpatient Antibiotic Medications
Mar 12, 20191855Update Regarding Rates for the 2019 New Codes
Mar 11, 20191854Attention Provider Type 38 (Waiver for Individuals with Intellectual Disabilities and Related Conditions): Procedure Code 96152 with New Modifier U4
Mar 07, 20191853Modernization: New Claim Adjustment Reason Code Will Assist With Medicare Cost Reporting
Mar 07, 20191852Attention Provider Type 63 (Residential Treatment Centers): Reminder Regarding All-Inclusive Daily Rate
Mar 01, 20191851Modernization: Instructions for Providers and Trading Partners Regarding SNIP Level 4 Edits
Mar 01, 20191850Attention Providers Who Submit Professional Health Care Claims: Authorization Lines Must Correspond to Claim Details
Feb 27, 20191849Attention Provider Type 15 (Registered Dietitians): Reminder of Procedure Codes That Can Be Billed
Feb 25, 20191848New Provider Orientation Scheduled for March 2019
Feb 22, 20191847Modernization: Attention All Providers: Revalidate/Update Provider Information Process
Feb 22, 20191846Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for 2019
Feb 21, 20191845Modernization: Attention All Providers: Update Regarding Expanded Customer Service Call Center Hours
Feb 20, 201918442019 ICD-10-CM Diagnosis Codes and 2019 ICD-10-PCS Inpatient Procedure Codes
Feb 15, 20191843Medicaid Services Manual Chapters Updated
Feb 13, 20191842Modernization: Attention All Providers: Reminders on Using the Modernized MMIS
Feb 12, 20191841Modernization: Instructions for Nursing Facilities, Intermediate Care Facilities and Hospice Providers Regarding Benefit Plan Details
Feb 08, 20191840Modernization: Attention Nursing Facilities (Provider Type 19): Select Appropriate Claim Type When Submitting Claims in Provider Web Portal
Feb 08, 20191839Modernization: Attention All Providers: Inactive Provider Messages on the EVS Secure Provider Web Portal
Feb 08, 20191838Professional Health Care Claims (Electronic Transaction 837P) That Paid Incorrectly Have Been Reprocessed
Feb 08, 20191837Claims for Sterilization Procedures that Denied Have Been Reprocessed
Feb 07, 20191836Update to Physician and Laboratory Payment Methodology Changes
Feb 06, 20191835Attention Anesthesia Providers: Please Respond to DHCFP Rate Review Surveys by March 1, 2019
Feb 01, 20191834Modernization: Attention All Providers: New MMIS is Now Live!
Jan 31, 20191833Modernization Known System Issue: Date of Decision for Recipient Eligibility Not Currently Available
Jan 31, 20191832Modernization: Prior Authorization and Claims Webinars in February
Jan 31, 20191831Modernization: Attention Out-of-State Providers: Use the Online Provider Enrollment Tool to Enroll in Nevada Medicaid
Jan 30, 20191830Modernization: Attention All Providers: New MMIS is Going Live!
Jan 29, 20191829Modernization: Attention Providers Using Outsourced Billing Agencies/Vendors
Jan 29, 20191828Modernization: Attention Inpatient Facility Providers Regarding Prior Authorization for Service Rendered Matching Service Billed on Claims
Jan 29, 20191827Modernization: Attention All Providers: Extended Customer Service Call Center Hours during MMIS Transition
Jan 29, 20191826Modernization: Instructions Regarding Letters of Agreement and Submitting the Corresponding Claims
Jan 25, 20191825Modernization: Important Information and Dates All Trading Partners Need to Know to Prepare for Go-Live
Jan 25, 20191824Modernization: Attention All Providers Regarding New Registrations to Use the Secure Provider Web Portal
Jan 25, 20191823Modernization: Urgent Reminder for All Providers Regarding Prior Authorization Requests
Jan 25, 20191822DHCFP Continues Rate Reviews per Assembly Bill 108
Jan 24, 20191821Modernization: Buy-In and Third Party Liability Related Transactions During Transition
Jan 24, 20191820Modernization: Attention All Providers: Physician-Administered Drug (PAD) Claims and Currently Pended Claims to be Denied
Jan 23, 20191819Medicaid Services Manual and Medicaid Operations Manual Chapters Updated
Jan 23, 20191818Modernization: Reminder for All Providers: Use Current Procedure, Diagnosis and Value/Condition Codes on Claims
Jan 22, 20191817Attention Provider Type 64 (Hospice): Annual Rate Update Implemented
Jan 21, 20191816Modernization: Attention All Providers: Modernized MMIS Transition Overview – Important Dates and Instructions (Updated January 24, 2019)
Jan 18, 20191815Modernization: Computer-Based Trainings (CBTs) Are Now Available
Jan 18, 20191814Attention Dental Providers: Claims for Procedure Code D7311
Jan 18, 20191813UPDATE: Claims for Radiology Scans Automatically Reprocessed
Jan 18, 20191812Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Claims for Procedure Codes 90945 and 90999
Jan 17, 20191811Attention Providers Submitting UB/Paper and 837I/Electronic Claims: Update Regarding Claims with Attending Provider’s National Provider Identifier
Jan 17, 20191810Update Regarding the Reprocessing of Outpatient and Crossover Claims
Jan 17, 20191809Attention Provider Types 12 (Outpatient, Hospital) and 17 (Special Clinics): Claims for 2017 Therapy Evaluation Codes that Denied Have Been Reprocessed
Jan 16, 20191808Modernization: Attention All Providers: Clinical Laboratory Improvement Amendments (CLIA) Number Requirements
Jan 15, 20191807Modernization: Attention All Providers Who Did Not Register for Modernization Training: Training Opportunities Available
Jan 14, 2019Volume 15, Issue 4Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2018 Provider Newsletter)
Jan 11, 20191806Modernization: Attention Waiver Providers: Submit Claims with the Prior Authorization Number
Jan 11, 20191805Modernization: Attention All Providers: Electronic Data Interchange (EDI) Enrollment Form Deadline and File Transactions Information (Updated January 22, 2019)
Jan 11, 20191804Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2019 Quarter 3 Rate Update
Jan 10, 20191803Urgent Update for All Provider Types Including Provider Type 85 (Applied Behavior Analysis): Claims Denying In Error with Edit Code 0155
Jan 09, 20191802Update Regarding Reprocessing of Radiology Claims
Jan 08, 20191801Modernization: Attention All Providers: New Instructions for Submitting Claim Adjustment and Void Requests as Paperless Processes Are Implemented
Jan 08, 20191800Attention Provider Type 11 (Inpatient, Hospital): Update Regarding Claims Reprocessed to Pay Correct Rates
Jan 07, 20191799Modernization: Provider Web Portal Initial Log in After Implementation - New Password Required
Jan 04, 20191798Modernization: Attention Providers Who Submit Claims with National Drug Codes: Changes Regarding Making Adjustments to Claims with Physician-Administered Drug Details
Jan 04, 20191797Attention Provider Types 14 (Behavioral Health Outpatient Treatment) and 82 (Behavioral Health Rehabilitative Treatment): New Reimbursement Rates for Basic Skills Training
Jan 04, 20191796Update Regarding Claims for Analog and Digital Mammography Exams
Jan 04, 20191795Modernization: Attention Hospitals and Nursing Facilities: Prepare for PASRR Portal Temporary Shutdown
Jan 02, 20191794Attention All Provider Types Including Provider Type 85 (Applied Behavior Analysis): Claims Denying In Error with Edit Code 0155 Have Been Automatically Reprocessed
Dec 31, 20181793Attention All Provider Web Portal Users: Issue Regarding Attachment Name and Type Has Been Resolved
Dec 28, 20181792Modernization: Attention All Providers: Prior Authorization Requests and Related Documents Will Not Be Accepted by Fax or Mail as of January 26, 2019
Dec 28, 20181791Modernization: Attention All Providers: New MMIS is Going Paperless!
Dec 28, 20181790Attention Provider Type 29 (Home Health Agency): Private Duty Nursing (PDN) Services Policy Updated (Updated January 15, 2019)
Dec 28, 20181789Attention Provider Types 29 (Home Health Agency/Private Duty Nursing) and 38 (Waiver for Individuals with Intellectual Disabilities and Related Conditions): Holiday Rates for Services to be Discontinued December 28, 2018
Dec 28, 20181788Modernization: Reminder with Dates All Providers and Delegates Need to Know to Prepare for Paperless Processes
Dec 28, 20181787Modernization: Trading Partner Enrollment and Certification (Testing) Must Be Completed NOW to Avoid Any Service Interruptions
Dec 26, 20181786Attention Provider Type 21 (Podiatry): Update Regarding the Reprocessing of Claims for Podiatry Services
Dec 24, 20181785Clarification of Intensive Outpatient Program (IOP) Codes and Guidelines
Dec 24, 20181784Update Regarding Claims for Analog and Digital Mammography Exams
Dec 21, 20181783Use Internet Explorer or Microsoft Edge® to Access Nevada Medicaid Website
Dec 21, 20181782Payerpath Claim Submission Training for January 2019
Dec 18, 20181781Modernization: Attention All Providers: Changes Regarding Physician-Administered Drug Claims
Dec 17, 20181780Update Regarding Claims for Sterilization Procedures that Denied
Dec 17, 20181779New 2019 Codes for Applied Behavior Analysis (ABA) Services
Dec 14, 20181778Attention All Provider Types Including Provider Type 85 (Applied Behavior Analysis): Claims Denying In Error with Edit Code 0155
Dec 14, 20181777Attention Provider Type 19 (Nursing Facility): Skilled Nursing Facilities Level of Care (LOC) Definition for a Ventilator Dependent Recipient
Dec 13, 20181776Modernization: Attention All Providers: Changes Regarding Claims Submission of Medicare Crossover Claims
Dec 13, 20181775Modernization: Attention Inpatient Services Providers: Changes Regarding Patient Liability on Inpatient Claims (Updated November 4, 2019)
Dec 13, 20181774Claims for Ambulatory Surgical Center (ASC) Procedure Code 54161 Reprocessed
Dec 13, 20181773Medicare Beneficiary Identifier (MBI) Changes Impacted Nevada Medicaid Claims
Dec 11, 20181772Clinical Claim Editor Updated with Knowledge Base V62 Files
Dec 10, 20181771Medicare Part D Co-Pay Reimbursement Increase
Dec 07, 20181770Clinical Claim Editor to be Updated with NCCI Quarter 4 2018 Files
Dec 07, 20181769Modernization: Provider Training Enrollment Closes on December 31, 2018
Dec 06, 20181768Nevada Medicaid Managed Care Network Provider Enrollment Requirement
Dec 04, 201817672019 New Codes Update
Dec 03, 20181766Modernization: Trading Partner Enrollment and Certification (Testing) Must Be Completed Immediately to Avoid Any Service Interruptions
Dec 03, 20181765Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Codes A4604, E0978 or E1406 that Denied or Paid in Error Have Been Reprocessed
Nov 30, 20181764Attention Providers Submitting UB/Paper and 837I/Electronic Claims: Issue with Claims with Attending Provider’s National Provider Identifier Has Been Corrected
Nov 30, 20181763Modernization: Attention Outpatient Facility Providers: Changes Regarding Claims Submission
Nov 30, 20181762Modernization: Attention Inpatient Providers: Changes Needed When Submitting Claims for Processing
Nov 29, 20181761Modernization: Changes Regarding Rendering Provider’s National Provider Identifier on Professional Claims
Nov 29, 20181760New Provider Training Scheduled for December 2018
Nov 28, 20181759Legally Responsible Individual (LRI) Form FA-24B Updated
Nov 28, 20181758Modernization: Attention Providers Enrolled with Atypical Provider Identifiers (APIs)
Nov 28, 20181757Modernization: Attention All Providers: Changes Regarding the Claim Appeal Request Process
Nov 26, 20181756New Behavioral Health Outpatient or Rehabilitative Authorization Request Form
Nov 26, 20181755Update Regarding Claims Processed with NCCI Quarter 3 2018 Files
Nov 26, 20181754Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims that Paid Incorrect Rates
Nov 26, 20181753Payerpath Claim Submission Training for December 2018
Nov 21, 20181752Modernization: Attention Outpatient Providers: Reminder Regarding Ancillary Services
Nov 21, 20181751Nevada Medicaid Antibiotic Policy Newsletter
Nov 20, 20181750Update Regarding Claims for Analog and Digital Mammography Exams
Nov 20, 20181749Clinical Claim Editor Updated with NCCI Quarter 2 2018 Files and Claims to be Reprocessed
Nov 19, 20181748Medicaid Services Manual Chapters Updated
Nov 16, 20181747Clinical Claim Editor Updated with NCCI Quarter 3 2018 Files
Nov 16, 20181746Urgent Notice for Behavioral Health Providers: Upcoming Moratorium on Enrollment for Specialty 301 (Qualified Mental Health Associates) and Specialty 302 (Qualified Behavioral Aides)
Nov 15, 20181745Telehealth Billing Instructions Updated
Nov 13, 20181744Claims for Infusion Sets for External Insulin Pumps That Denied in Error Have Been Reprocessed
Nov 09, 20181743Provider Type 55 (Home Based Habilitation Services) Claims Reprocessed
Nov 09, 20181742Attention Provider Type 58 (Home and Community-Based Services Waiver for Persons with Physical Disabilities): DHCFP Wage and Benefit Survey Invitation
Nov 08, 20181741DHCFP to Host Antibiotic Policy & Provider Education Webinar (Updated December 6, 2018)
Nov 07, 20181740Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims that Paid Incorrect Rates Will Be Reprocessed
Nov 07, 20181739Modernization: Helpful Information Regarding Registering for Provider Training on Modernized MMIS
Nov 06, 20181738Modernization: Attention All Providers: Providers Will See New Edit Codes
Nov 06, 20181737DHCFP Begins Rate Reviews per Assembly Bill 108
Nov 06, 20181736Update Regarding Claims for Pulmonary Stress Testing
Nov 05, 20181735Modernization: Attention All Providers: Include Claims Adjustment Reason Codes on Claims
Nov 02, 20181734Attention Provider Type 22 (Dentist): Update Regarding Dental Claim Denials with Edit Code 0736 (Invalid Surface Code/Procedure)
Nov 01, 20181733Modernization: Dates All Providers and Delegates Need to Know to Prepare for Paperless Processes
Nov 01, 20181732Attention Provider Type 15 (Registered Dietitian): Update Regarding Claims Pended in Error
Nov 01, 20181731Modernization: Attention Electronic Billing Trading Partners: Trading Partner Enrollment and Certification (Testing) Reminders
Nov 01, 20181730Modernization: Attention Provider Type 12 (Hospital, Outpatient): HCPCS Observation Code G0378 Limitation
Oct 31, 20181729Attention Provider Type 85 (Applied Behavior Analysis): Claims for Procedure Code 0370T Have Been Reprocessed
Oct 30, 20181728Authorization Limits for Outpatient Rehabilitation and Therapy Services
Oct 29, 20181727Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Oxygen Codes E0441, E0443 and E0444
Oct 25, 20181726Respiratory Syncytial Virus (RSV) Prophylaxis with Synagis® (Palivizumab)
Oct 25, 20181725Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Reimbursement for Items with Zero Rates Assigned
Oct 25, 20181724Facility Claims Denied With Edit Codes 0091 and 0683
Oct 25, 20181723Modernization: Reminder for Provider Type 29 (Home Health Agency) Regarding Billing with Value Codes
Oct 25, 20181722Attention Provider Type 22 (Dentist) Specialty 079 (Orthodontia): Claims for Diagnostic Codes Reprocessed
Oct 24, 20181721Update Regarding the Reprocessing of Facility Claims that Denied in Error
Oct 24, 20181720Payerpath Claim Submission Training for November 2018
Oct 23, 20181719Attention Provider Type 15 (Registered Dietitian): Update Regarding Claims Pended in Error
Oct 22, 20181718Urgent: Claims Pended Due to Budget Authority Will Be Released for Adjudication
Oct 22, 20181717Attention Provider Type 29 (Home Health Agency): Update Regarding Claims with Revenue Code 0551 that Cutback in Error
Oct 19, 20181716New Provider Training Scheduled for November 2018
Oct 19, 20181715Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): Quarterly Rate Update
Oct 18, 20181714Modernization: Provider Training on Modernized MMIS Scheduled for January 2019
Oct 18, 20181713Drug Screening and Testing Policy Changes
Oct 17, 20181712Modernization: Attention All Provider Types: DHCFP Proposes to Discontinue Atypical Provider Identifiers (APIs)
Oct 12, 20181711Requirements Regarding National Provider Identifier of Attending and Ordering, Prescribing or Referring Provider on Claims
Oct 12, 20181710Attention Provider Type 22 (Dentist): Dental Claims Denied in Error Have Been Reprocessed (Updated January 9, 2019)
Oct 12, 20181709Attention Provider Type 29 (Home Health Agency): Update Regarding Claims that Cutback in Error or Overpaid
Oct 12, 2018Volume 15, Issue 3Nevada Medicaid and Nevada Check Up News (Third Quarter 2018 Provider Newsletter)
Oct 11, 20181708Preventive Visit Codes 99386, 99387, 99396 and 99397
Oct 11, 20181707ICD-10 Diagnosis Code M85.80
Oct 09, 20181706Delay in Finalizing Physician-Administered Drug Claims
Oct 09, 20181705Attention Provider Type 22 (Dentist): Bill Tooth Surface Codes in Alphabetical Order
Oct 04, 20181704Long Acting Reversible Contraceptives (LARCs) Technical Bulletin
Oct 01, 20181703Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing)
Oct 01, 20181702Attention Provider Type 22 (Dentist): Claims for Procedure Code D8080
Sep 28, 20181701Attention Provider Type 15 (Registered Dietitian): Claims Denied with Edit Code 0885 Have Been Reprocessed
Sep 28, 20181700New Federally Qualified Health Centers (FQHC) Policy Chapter 2900
Sep 27, 20181699New Email Address for Requests for Prior Authorization Peer-to-Peer Reviews
Sep 26, 20181698Attention Provider Type 12 (Hospital, Outpatient): Claims for Observation Code G0378 Billed with Revenue Code 0762 (Updated October 23, 2018)
Sep 26, 20181697Modernization: Electronic Funds Transfer Requirement Proposed for All Providers (Updated October 9, 2018)
Sep 26, 20181696Payerpath Claim Submission Training for October 2018
Sep 24, 20181695Attention Provider Type 44 (Swing-bed, Acute Hospital): Update Regarding Swing-bed Services Claims
Sep 24, 20181694Attention Provider Type 14 (Behavioral Health Outpatient Treatment): New Form for Mental Health Request for PHP/IOP Services
Sep 21, 20181693New Provider Training Scheduled for October 2018
Sep 20, 20181692Prior Authorization Required for Radiology Scans – POSTPONED (Updated November 8, 2018)
Sep 17, 20181691Modernization: Provider Training Scheduled for January 2019; Modernization Project Webpage Created
Sep 13, 20181690Update for All Providers: Billing Time Frame (Stale Date) Policy Remains the Same
Sep 13, 20181689Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Reprocessed
Sep 13, 20181688Update Regarding Claims for New 2018 Anesthesia Services Codes
Sep 12, 20181687Modernization: Attention All Providers: Upcoming Changes Include Electronic Claims Submission Requirement
Sep 10, 20181686Drug Use Review (DUR) Board Approves Changes Effective July 2, 2018
Sep 10, 20181685Update Regarding Indian Health Program Rates Adjusted for Calendar Year 2018
Sep 07, 20181684Prior Authorization Required for Radiology Scans (Updated September 20, 2018)
Sep 07, 20181683New Federally Qualified Health Centers (FQHC) Policy Chapter Proposed
Sep 06, 20181682Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Claims for Oxygen Codes E0441, E0443 and E0444 (Updated September 10, 2018)
Sep 04, 20181681Medicaid Services Manual Chapter 400 Updated
Sep 04, 20181680Attention Provider Type 19 (Nursing Facilities): Update Regarding Standard Bed Day Claims
Sep 04, 20181679Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Update Regarding Claims for Orthotic Procedure Code L2200
Sep 04, 20181678New Pulmonary Stress Testing Code
Aug 31, 20181677Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): KU Modifier on Medicaid and Crossover Claims
Aug 31, 20181676Attention All Provider Types: Upcoming Training Session Regarding Claims Appeals and Prior Authorization Submission and Appeals
Aug 31, 20181675Update Regarding Behavioral Health Outpatient Treatment Claims for Psychiatric Visits That Denied In Error
Aug 31, 20181674Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing)
Aug 29, 20181673New Nevada Medicaid Provider Revalidation Report Available for Providers
Aug 29, 20181672Payerpath Claim Submission Training for September 2018
Aug 28, 20181671New Provider Training Scheduled for September 2018
Aug 27, 20181670Attention Provider Type 33 (Durable Medical Equipment): Void/Resubmit Claims for Zero Rate Items
Aug 24, 20181669Attention All Providers: Revisions to Billing Time Frame (Stale Date) (Updated September 13, 2018)
Aug 21, 20181668New Preventive Services Billing Instructions Published
Aug 20, 20181667Updates to Nevada Medicaid Online Provider Enrollment Portal
Aug 17, 20181666Update Regarding the Reprocessing of Claims for Ocular Services Codes Including V2020 (Vision Services, Frames)
Aug 17, 20181665Attention Provider Type 74 (Nurse Midwife): Procedure Codes Updated and Claims Reprocessed
Aug 16, 20181664Nevada Medicaid Reimburses for Laboratory Lead Testing and Screenings
Aug 13, 20181663Behavioral Health Therapy Claim Limits
Aug 13, 20181662Update Regarding Claims for the New 2018 Codes
Aug 13, 20181661Outpatient Claims that Denied in Error with Edit Code 0210 Have Been Reprocessed
Aug 13, 20181660Medicaid Services Manual Chapters Updated
Aug 10, 20181659Modernization: Electronic Claims Submission for All Providers to be Implemented in February 2019
Aug 10, 20181658Modernization: Upcoming Physician-Administered Drug (PAD) Claim Requirements
Aug 10, 20181657Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.) and 25 (Optometrist): Update on Reprocessing of Ocular Codes 92014 and 92015 Claims
Aug 09, 20181656Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Update Regarding Claims Denied with Edit Code 0305
Aug 06, 20181655Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing)
Aug 06, 20181654Drug Use Review (DUR) Board Approves Changes Effective August 6, 2018
Aug 03, 20181653Update Regarding Claims Processed with NCCI Quarter 1 2018 Files
Aug 03, 20181652Update Regarding Claims Processed with NCCI Quarter 4 2017 Files
Aug 03, 20181651Update Regarding Claims for Dialysis Codes 90945 and 90999
Aug 01, 201816502018 Nevada Medicaid Conference Scheduled
Aug 01, 20181649New Provider Training Scheduled for August 2018
Aug 01, 20181648Payerpath Claim Submission Training for August 2018
Jul 31, 20181647Status of Behavioral Health Outpatient Treatment Claims for Psychiatric Visits That Denied In Error (Updated August 31, 2018)
Jul 30, 20181646Attention All Providers: Update Regarding Nevada Medicaid Fiscal Agent Email
Jul 27, 20181645Update Regarding Claims Impacted by Edit Code 0093 (Referring Provider Cannot be a Group Provider)
Jul 25, 20181644Clinical Claim Editor Updated with NCCI Quarter 4 2017 Files
Jul 20, 20181643Future Updates to Nevada Medicaid Online Provider Enrollment Portal
Jul 20, 20181642Update Regarding Claims with Procedure Codes 99385 and 99395
Jul 20, 20181641Current Procedure Terminology Code 43659 is Not Covered by Nevada Medicaid
Jul 18, 20181640Medicaid Services Manual Chapters Updated
Jul 16, 20181639Changes to Provider Web Portal and Paper Remittance Advice Implemented to Support New Medicare Number Project
Jul 16, 20181638DHCFP Phases Out Health Care Guidance Program
Jul 13, 2018Volume 15, Issue 2Nevada Medicaid and Nevada Check Up News (Second Quarter 2018 Provider Newsletter)
Jul 12, 20181637Outpatient Rehabilitation and Therapy Prior Authorization Request Form Updated
Jul 11, 20181636Update Regarding State Plan Amendment Rate Changes and Claim Recycles
Jul 11, 20181635Attention All Provider Types: Upcoming Training Sessions Regarding Claims Appeals, Adjustments and Voids
Jul 10, 20181634Attention Behavioral Health Providers: Do Not Bill with Provider Specialty 000 as a Servicing Provider
Jul 05, 20181633Attention Provider Types 64 and 65 (Hospice Providers): Training Sessions Scheduled
Jul 02, 20181632Attention Provider Type 29 (Home Health Agency): Private Duty Nursing (PDN) Services Form Updated
Jul 02, 20181631Attention All Providers: Update Regarding Nevada Medicaid Fiscal Agent Email
Jul 01, 20181630Attention Provider Type 20 (Physician, M.D., Osteopath, D.O.): Radiology Modifier RT/LT Billing Instructions
Jun 28, 20181629Modernization: Attention Electronic Billing Trading Partners: Update Regarding the Medicaid Management Information System Modernization Project – Inbound and Outbound Companion Guides Now Available
Jun 28, 20181628Behavioral Health Providers Invited to Attend Monthly DHCFP Webinars
Jun 27, 20181627Replacement of Codes for Analog and Digital Mammography Exams
Jun 27, 20181626New Provider Training Scheduled for July 2018
Jun 26, 20181625Payerpath Claim Submission Training for July 2018
Jun 22, 20181624Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Additional HCPCS Codes that Require Prior Authorization
Jun 22, 20181623Attention Provider Types 12 (Outpatient, Hospital) and 17 (Special Clinics): Update Regarding Claims for Therapy Evaluation Codes
Jun 21, 20181622Behavioral Health Therapy Claim Limits (Updated August 10, 2018)
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, 20181617Modernization: Attention 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 (Updated July 25, 2018)
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, 20181602Modernization: News 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 (Updated July 11, 2018)
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, 20181574Modernization: Attention 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) (Updated July 27, 2018)
Apr 11, 20181568Procedure Codes 99406 and 99407 for Smoking Cessation Counseling Are Used for Pregnant Women Only (Disregard this announcement - see Web Announcement 2704)
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, 20181559Modernization: Attention 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) (Updated May 7, 2025)
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 (Disregard this announcement - see Web Announcement 2704)
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 Initiatives
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 Recipients 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 Effective 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