Nevada Medicaid and Nevada Check Up News (Second Quarter 2021 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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Nevada Medicaid COVID-19

Nevada Health Response

Due to scheduled system maintenance, the following functionalities will be unavailable from 7 a.m. to 9 a.m. Pacific Time Sunday, September 26, 2021:
  • Trading Partner File Transfer (EDI/SFTP)
  • Business Partner File Transfer (EDI/SFTP)


The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. to midnight Pacific Time Sunday, September 26, 2021, for scheduled maintenance:
  • Secure Provider Web Portal (Electronic Verification System – EVS)
  • Online Provider Enrollment (OPE)
  • Online Provider Claim Appeals
  • Online Prior Authorization (PA) system
  • Online Claims Submission
  • Audio Response System (ARS) (800-942-6511)
  • Real time CAQH/CORE EDI eligibility and claim verification
  • Provider PASRR


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.

Provider Links

AuthentiCare® Nevada

Billing Information

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Forms

Provider Enrollment

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Provider Training

Scheduled Site Maintenance

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

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

Monday
8:00PM - 12:00AM

Announcements & Newsletters

Search by Category:
  • All Announcements - All published announcements
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  • Dental/Orthodontia - Announcements related only to Dental/Orthodontia
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  • Personal Care Services (PCS) - Announcements related only to Personal Care Services
  • Durable Medical Equipment (DME) - Announcements related only to Durable Medical Equipment
  • Behavioral Health - Announcements related only to Behavioral Health
  • Waiver Providers - Announcements related only to Waiver Providers
DateAnnouncement NumberTopic
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
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
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
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
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
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 Policy
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, 2018