Nevada Medicaid COVID-19
Nevada Health Response
Known Modernization System Issues-Click HERE
Urgent Updates Regarding Professional Crossover and Outpatient Crossover Claims Payment Issue. See
Web Announcement 2174.
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 May 2020 Claims. See
Web Announcement 2221.
Top Prior Authorization Denial Reasons for the First Quarter of 2020. See
Web Announcement 2188.
Top 10 Enrollment Return Reasons and Resolutions for May 2020 Submissions. See
Web Announcement 2220.
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.
