Nevada Medicaid COVID-19
Nevada Health Response
Known Modernization System Issues-Click HERE
Paper claims are no longer accepted by Nevada Medicaid. Please refer to
Web Announcement 1733 and
Web Announcement 1829 for additional information.
Top 10 Claim Denial Reasons and Resolutions/Workarounds for January 2021 Claims.
Web Announcement 2425.
Top Prior Authorization Denial Reasons for the Third Quarter of 2020. See
Web Announcement 2355.
Top 10 Enrollment Return Reasons and Resolutions for Third Quarter 2020 Submissions. See
Web Announcement 2411.
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.
