Known Modernization System Issues-Click HERE
Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2019 Claims. See Web Announcement 1979
Paper claims are no longer accepted by Nevada Medicaid. Please refer to Web Announcement 1733
and Web Announcement 1829
for additional information.
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