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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 October 2020 Claims. See Web Announcement 2354.
Top Prior Authorization Denial Reasons for the Second Quarter of 2020. See Web Announcement 2254.
Top 10 Enrollment Return Reasons and Resolutions for June 2020 Submissions. See Web Announcement 2255.
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.
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