Nevada Medicaid and Nevada Check Up News (First Quarter 2026 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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NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. Pacific Time on Monday, May 11, 2026, through 4 a.m. Pacific Time on Tuesday, May 12, 2026, for scheduled maintenance:
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    • Known System Issues-Click HERE

    Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2026 Professional Claims. See Web Announcement 3894.

    Top Prior Authorization Denial Reasons for the First Quarter of 2026. See Web Announcement 3900.

    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 https://NevadaMedicaid.nv.gov/ and the Billing Guide for your provider type at www.medicaid.nv.gov.

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1. NV_BillingGuidelines_PT60.pdf
... Limit of 2 units per 6 months per tooth D2950 Core build-up, including any pins when required. • Limit of 1 unit per 36 months per ...
Terms matched: 1  -  Score: 21  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60.pdf
2. NV_BillingGuidelines_PT60_2025-1216.pdf
... Limit of 2 units per 6 months per tooth D2950 Core build-up, including any pins when required. • Limit of 1 unit per 36 months per ...
Terms matched: 1  -  Score: 21  -  29 Apr 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2025-1216.pdf
3. NV_BillingGuidelines_PT22-attachmentA.pdf
... 00 00 00 2 units per 6 months per tooth D2950 CORE BUILD-UP INCL ANY PINS 00 02 02 1 unit per 36 months per tooth Updated 03/23 ...
Terms matched: 1  -  Score: 25  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA.pdf
4. NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
... 00 00 00 2 units per 6 months per tooth D2950 CORE BUILD-UP INCL ANY PINS 00 02 02 1 unit per 36 months per tooth Updated 01/29 ...
Terms matched: 1  -  Score: 25  -  23 Mar 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_01-29-26.pdf
5. NV_BillingGuidelines_PT22-attachmentB_01-29-26.pdf
... ) 00 1 unit per 36 months per tooth D2950 Core buildup, including any pins, in addition to 1 unit per 36 months per tooth 00 crown D2951 ...
Terms matched: 1  -  Score: 25  -  02 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_01-29-26.pdf
6. NV_BillingGuidelines_PT22-attachmentB.pdf
... ) 00 1 unit per 36 months per tooth D2950 Core buildup, including any pins, in addition to 1 unit per 36 months per tooth 00 crown D2951 ...
Terms matched: 1  -  Score: 25  -  02 Feb 2026  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB.pdf
7. NV_BillingGuidelines_PT60_2024-0828.pdf
... Limit of 2 units per 6 months per tooth D2950 Core build-up, including any pins when required. • Limit of 1 unit per 36 months per ...
Terms matched: 1  -  Score: 21  -  16 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT60_2024-0828.pdf
8. NV_BillingGuidelines_PT22-attachmentB_12-08-25.pdf
... ) 00 1 unit per 36 months per tooth D2950 Core buildup, including any pins, in addition to 1 unit per 36 months per tooth 00 crown D2951 ...
Terms matched: 1  -  Score: 25  -  15 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_12-08-25.pdf
9. NV_BillingGuidelines_PT22-attachmentB_10-06-25.pdf
... ) 00 1 unit per 36 months per tooth D2950 Core buildup, including any pins, in addition to 1 unit per 36 months per tooth 00 crown D2951 ...
Terms matched: 1  -  Score: 25  -  08 Dec 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentB_10-06-25.pdf
10. FA-24A.pdf
... PM Bathing Dressing Grooming Toileting Transfer/Positioning Mobility/Ambulation Eating Housekeeping Laundry Essential Shopping Meal Preparation FA-24A Page 1 of 2 Updated 07/16/2025 ( ...
Terms matched: 1  -  Score: 21  -  16 Jul 2025  -  URL: https://www.medicaid.nv.gov/Downloads/provider/FA-24A.pdf
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