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	Contact Us Use this directory to contact us by phone or mail. General questions, comments or technical assistance may be submitted online by clicking the Online link at the bottom of the page: Electronic Billing General Information Managed Care PASRR/LOC Pharmacy Prior Authorization Provider Enrollment Provider Training Public Hearings TPL Identification and Recovery Web Sites General Information Customer Service Center Claim inquiries and general information Mailing Address: Customer Service P.O. Box 30042 Reno, NV 89520-3042 Phone: (877) 638-3472 Nevada Medicaid Central Office State policy inquiries and Fair Hearing requests Mailing Address: 1100 East William St. Suite 102 Carson City, NV 89701 Phone: (877) 638-3472 and (775) 684-3600 Medicaid Recipient Customer Service Las Vegas District Office: (702) 668-4200 Reno District Office: (775) 687-1900 All other areas: (866) 569-1746 Automated Response System (ARS) Recipient eligibility, recent payments, claim status, and prior authorization information via phone Phone: (800) 942-6511 Electronic Verification System (EVS) Recipient eligibility, claim status, prior authorization status, provider payments Log on to EVS EVS User Manual Note: For EVS, there can only be one provider administrator for each NPI/FEIN/zip code. The provider administrator must register as a "Provider" and will be responsible for creating delegates for that provider. If you do not know who the provider administrator is in your office, call the Customer Service Center at (877) 638-3472. Back to Top Web Sites Nevada Medicaid Web Site Web announcements, billing manual, billing guidelines, forms, pharmacy information https://www.medicaid.nv.gov DHCFP Web Site Medicaid Services Manual, rates, policy updates, public notices http://dhcfp.nv.gov Back to Top Provider Training Mailing Address: Provider Training P.O. Box 30042 Reno NV 89520-3042 Email: NevadaProviderTraining@gainwelltechnologies.com Back to Top Electronic Billing Mailing Address: EDI Coordinator P.O. Box 30042 Reno, NV 89520-3042 Phone: (877) 638-3472 (select option for "Electronic Billing") Email: NVMMIS.EDIsupport@gainwelltechnologies.com Back to Top Managed Care Organizations (MCOs) The Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) are Anthem Blue Cross and Blue Shield Healthcare Solutions, Health Plan of Nevada and SilverSummit Healthplan. LIBERTY Dental Plan of Nevada is the Dental Benefits Administrator (DBA). Anthem Blue Cross and Blue Shield Healthcare Solutions Provider Website: https://providers.anthem.com/nevada-provider/home Provider Services Phone: (844) 396-2330 Provider Contracting:https://providers.anthem.com/nevada-provider/join-our-network Claims: https://providers.anthem.com/nevada-provider/claims Payor ID: 00265 Mailing Address: Anthem Blue Cross and Blue Shield Healthcare Solutions Attn: Nevada Claims P.O. Box 61010 Virginia Beach, VA 23466-1010 Precertification: https://providers.anthem.com/nevada-provider/resources/precertification-requirements Member Services Phone: (844) 396-2329 Member Website: https://mss.anthem.com/nevada-medicaid/home.html Health Plan of Nevada (HPN) Provider Relations and Provider Contracting Phone: (702) 242-7088 or (800) 745-7065 Website: https://myhpnmedicaid.com/Provider Member Services Phone: (800) 962-8074 Fax: (702) 240-6281 Claims Address Health Plan of Nevada P.O. Box 15645 Las Vegas, NV 89114 EDI Claims Submission Clearinghouse: OptumInsight 1755 Telstar Drive #400 Colorado Springs, CO 80920 Payor ID's: Claims - Payor ID 76342 Encounter Data - Payor ID 76343 LIBERTY Dental Plan of Nevada Provider Relations and Provider Contracting Phone: (888) 700-0643 Email: prinquiries@libertydentalplan.com Website: www.libertydentalplan.com/NVMedicaid Member Services Phone: (866) 609-0418 Website: www.libertydentalplan.com/NVMedicaid Claims Address LIBERTY Dental Plan of Nevada Attn: Claims P.O. Box 401086 Las Vegas, NV 89140 Payor ID: CX083 Molina Healthcare of Nevada, Inc. Provider Contracting Phone: (833) 685-2103 Email: MHNVProviderContracting@molinahealthcare.com Fax: (833) 908-4412 Provider Website Website: https://www.molinahealthcare.com/providers/nv/medicaid/home.aspx Member Services Phone: (833) 685-2102 Claims Submission Website: https://www.molinahealthcare.com/providers/nv/medicaid/claims/submission.aspx EDI Claims Submission Clearinghouse: Change Healthcare Payer ID: MLNNV Claims Address Molina Healthcare of Nevada, Inc. P.O. Box 22666 Long Beach, CA 90801 SilverSummit Healthplan Provider Contracting Phone: (844) 366-2880 Email: NetworkManagement@SilverSummitHealthPlan.com Website: www.silversummithealthplan.com Provider Inquiry Telephone Numbers Medical/Behavioral Health: (844) 366-2880 Pharmacy: (844) 366-2880 Pharmacy (Prior Authorization): (855) 565-9520 Vision: (855) 896-8572 Claims Address Medical/Behavioral Health P.O. Box 5090 Farmington, MO 63640 Pharmacy 5 River Park Place E, Suite 210: Fresno, CA 93720 Vision Attn: Claims Processing P.O. Box 7548 Rocky Mount, NC 27804 Fax Numbers Prior Authorization Requests: Medical: (844) 367-7022 Behavioral Health: (855) 868-4940 Pharmacy: (866) 399-0929 Medical Records (for nurse use) (844) 518-7889 Admissions Census/Facesheets (844) 868-7399 Concurrent Review (844) 755-1370 Case Management (844) 851-1023 Medical Management General (844) 367-7015 Nevada Quality Improvement (855) 565-9517 Nevada Grievance and Appeals (855) 742-0125 Back to Top Provider Enrollment Mailing Address: Provider Enrollment PO Box 30042 Reno, NV 89520-3042 Phone: (877) 638-3472 (select option for "Provider Enrollment") Back to Top Prior Authorization Prior Authorization Phone: (800) 525-2395 Log on to EVS (select Care Management) Tutorials (select Resources->Downloads) Prior Authorization for Dental "Dental PA" P.O. Box 30042 Reno, NV 89520-3042 Phone: (800) 525-2395 Prior Authorization for All Other Service Types (except Pharmacy) Phone: (800) 525-2395 Back to Top Pharmacy Customer Service Center Pharmacy Prior Authorization and Technical Call Center Phone: (800) 695-5526 Medicaid Customer Service Medicaid Recipient Inquiries Phone: (702) 668-4200 or (775) 687-1900 Prime Therapeutics State Government Solutions Submit prior authorization requests online for prescription drugs. Select "Prime Therapeutics State Government Solutions" from the "Pharmacy" menu on this web site or visit Prime Therapeutics State Government Solutions at https://nv.primetherapeutics.com/home Back to Top Public Hearings Providers are welcome to attend public hearings and voice their opinion on policy changes. Call the number below to receive electronic or written notices of scheduled public hearings. Phone: (775) 684-3681 Back to Top PASRR/LOC Phone: (800) 525-2395 Fax: (855) 709-6847 Log on to EVS (Select PASRR Link) Back to Top Third Party Liability (TPL) Identification and Recovery If you believe a recipient's private insurance records are incorrect, please contact Health Management Systems, Inc. (HMS) at: Mailing Address: HMS - NV Third Party Liability P.O. Box 843421 Los Angeles, CA 90084-3421 Phone: (775) 335-1040 Toll Free: (855) 528-2596 Fax: (972) 284-5959 Email: nvtpl@gainwelltechnologies.com If you believe a recipient's Medicare record is incorrect, please contact the DHCFP at: Email: TPL@dhcfp.nv.gov Back to Top On this website and on documents posted herein: Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes, descriptions and data are copyrighted by the American Medical Association (AMA) and the American Dental Association (ADA), respectively, all rights reserved. AMA and ADA assume no liability for data contained or not contained on this website and on documents posted herein. CPT is a registered trademark ® of the AMA. CDT is a registered trademark ® of the ADA. Applicable FARS/DFARS apply. The Nevada Division of Health Care Financing adheres to all applicable privacy policies and standards, including HIPAA rules and regulations, regarding protected health information. Click here to see the State of Nevada Online Privacy Policy. Back to Top Online questions, comments or for technical assistance For technical assistance contact: Phone: 1-877-638-3472 Submit Online Questions, Comments or Technical Assistance Contact us by entering the Contact information below. * Indicates a required field. First Name First Name is a required field. The name field contains invalid characters. Acceptable characters include [a-z], [A-Z] and characters [ '-]. Last Name Last Name is a required field. The name field contains invalid characters. 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Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes, descriptions and data are copyrighted by the American Medical Association (AMA) and the American Dental Association (ADA), respectively, all rights reserved. AMA and ADA assume no liability for data contained or not contained on this website and on documents posted herein.

CPT is a registered trademark ® of the AMA. CDT is a registered trademark ® of the ADA. Applicable FARS/DFARS apply.

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The Nevada Division of Health Care Financing adheres to all applicable privacy policies and standards, including HIPAA rules and regulations, regarding protected health information. Click here to see the State of Nevada Online Privacy Policy