Nevada Medicaid and Nevada Check Up News (First Quarter 2022 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]

Notifications


Nevada Medicaid COVID-19

Nevada Health Response

Known Modernization System Issues-Click HERE

Paper claims are no longer accepted by Nevada Medicaid. Please refer to Web Announcement 1733 and Web Announcement 1829 for additional information.

Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2021 Claims. Web Announcement 2472.

Top Prior Authorization Denial Reasons for the First Quarter of 2021. See Web Announcement 2505.

Top 10 Enrollment Return Reasons and Resolutions for First Quarter 2021 Submissions. See Web Announcement 2501.

Attention Providers Using the Authorization Criteria Function: Results that return prior authorization (PA) requirements are accurate. For results that return “There are no records found based on the search criteria,” there may be a PA requirement if limits have been exceeded. To verify PA requirements, please refer to the Medicaid Services Manual (MSM) Chapter for your service type at dhcfp.nv.gov and the Billing Guide for your provider type at www.medicaid.nv.gov.

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DateAnnouncement NumberTopic
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)
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
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
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
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
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, 20202117