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 December 2019 Claims. See
Web Announcement 2073.
Top Prior Authorization Denial Reasons for the Fourth Quarter of 2019. See
Web Announcement 2072.
Top 10 Enrollment Return Reasons and Resolutions for November and December 2019 Submissions. See
Web Announcement 2071.
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.
