Prior Authorization Procedure and Diagnosis Reference Lists
Effective January 29, 2019, all providers will be required to submit their prior authorizations electronically via the Web Portal at https://www.medicaid.nv.gov/hcp/provider/Home/tabid/135/Default.aspx, as paper prior authorization submissions will no longer be accepted with the go-live of the new modernized Medicaid Management Information System (MMIS). Please continue to review the modernization-related web announcements at https://www.medicaid.nv.gov/providers/Modernization.aspx for further details.
The following are lists of covered services and/or authorization requirements. Remember to verify recipient eligibility before providing service.