Nevada Medicaid and Nevada Check Up News (Third Quarter 2018 Provider Newsletter) [Read]

Behavioral Health Providers Invited to Attend Monthly DHCFP Webinars [See Web Announcement 1628]

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]

Notifications

Urgent Notice for Behavioral Health Providers: Upcoming Moratorium on Enrollment for Specialty 301 (Qualified Mental Health Associates) and Specialty 302 (Qualified Behavioral Aides) [See Web Announcement 1746]

Modernization: Dates All Providers and Delegates Need to Know to Prepare for Paperless Processes [See Web Announcement 1733]

Modernization: Trading Partner Enrollment and Certification (Testing) Must Be Completed Immediately to Avoid Any Service Interruptions [See Web Announcement 1766]

Scheduled Site Maintenance

During the scheduled site maintenance window the Provider Web Portal will be unavailable. The table below shows the regularly scheduled maintenance window. All times will be in the Pacific time zone.

Monday - Friday
12:00AM - 12:30AM

Sunday
8:00PM - 12:30AM

Modernization Project

Important System Dates
  • Legacy (Old/Current) Medicaid System Code Freeze Starting Date: August 4, 2018
  • Modernization (New) Medicaid System Go-Live: February 1, 2019
  • Paper Claims Submission Cut-off Date: January 11, 2019 [See Web Announcement: 1733]
  • Paper Claims Appeals Submission Cut-off Date: January 11, 2019 [See Web Announcement: 1733]
  • Paper Provider Enrollment Submission Cut-off Date: January 11, 2019 [See Web Announcement: 1733]
  • Paper Prior Authorizations Submission Cut-off Date: January 25, 2019 [See Web Announcement: 1733]
Known System Issues and Identified Workarounds

Modernization (New) Medicaid System Web Announcements

DateAnnouncement NumberTopic
Dec 13, 20181776Modernization: Attention All Providers: Changes Regarding Claims Submission of Medicare Crossover Claims
Dec 13, 20181775Modernization: Attention Inpatient Services Providers: Changes Regarding Patient Liability on Inpatient Claims
Dec 07, 20181769Modernization: Provider Training Enrollment Closes on December 31, 2018
Dec 03, 20181766Modernization: Trading Partner Enrollment and Certification (Testing) Must Be Completed Immediately to Avoid Any Service Interruptions
Nov 30, 20181763Modernization: Attention Outpatient Facility Providers: Changes Regarding Claims Submission
Nov 30, 20181762Modernization: Attention Inpatient Providers: Changes Needed When Submitting Claims for Processing
Nov 29, 20181761Modernization: Changes Regarding Rendering Provider’s National Provider Identifier on Professional Claims
Nov 28, 20181758Modernization: Attention Providers Enrolled with Atypical Provider Identifiers (APIs)
Nov 28, 20181757Modernization: Attention All Providers: Changes Regarding the Claim Appeal Request Process
Nov 21, 20181752Modernization: Attention Outpatient Providers: Reminder Regarding Ancillary Services
Nov 07, 20181739Modernization: Helpful Information Regarding Registering for Provider Training on Modernized MMIS
Nov 06, 20181738Modernization: Attention All Providers: Providers Will See New Edit Codes
Nov 05, 20181735Modernization: Attention All Providers: Include Claims Adjustment Reason Codes on Claims
Nov 01, 20181733Modernization: Dates All Providers and Delegates Need to Know to Prepare for Paperless Processes
Nov 01, 20181731Modernization: Attention Electronic Billing Trading Partners: Trading Partner Enrollment and Certification (Testing) Reminders
Nov 01, 20181730Modernization: Attention Provider Type 12 (Hospital, Outpatient): HCPCS Observation Code G0378 Limitation
Oct 25, 20181723Modernization: Reminder for Provider Type 29 (Home Health Agency) Regarding Billing with Value Codes
Oct 18, 20181714Modernization: Provider Training on Modernized MMIS Scheduled for January 2019
Oct 17, 20181712Modernization: Attention All Provider Types: DHCFP Proposes to Discontinue Atypical Provider Identifiers (APIs)
Oct 01, 20181703Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing)
Sep 26, 20181697Modernization: Electronic Funds Transfer Requirement Proposed for All Providers (Updated October 9, 2018)
Sep 17, 20181691Modernization: Provider Training Scheduled for January 2019; Modernization Project Webpage Created
Sep 12, 20181687Modernization: Attention All Providers: Upcoming Changes Include Electronic Claims Submission Requirement
Aug 31, 20181674Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing)
Aug 10, 20181659Modernization: Electronic Claims Submission for All Providers to be Implemented in February 2019
Aug 10, 20181658Modernization: Upcoming Physician-Administered Drug (PAD) Claim Requirements
Aug 06, 20181655Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing)
Jun 28, 20181629Modernization: Attention Electronic Billing Trading Partners: Update Regarding the Medicaid Management Information System Modernization Project – Inbound and Outbound Companion Guides Now Available
Jun 18, 20181617Modernization: Attention Electronic Billing Trading Partners: Preparations Continue for the Medicaid Management Information System Modernization Project – Inbound Companion Guides Now Available
May 31, 20181602Modernization: News Regarding Direct Data Entry Claims Solution for Providers and Allscripts-Payerpath Access
Apr 20, 20181574Modernization: Attention Electronic Billing Trading Partners and Providers: Preparations for the Medicaid Management Information System Modernization Project
Mar 28, 20181559Modernization: Attention All Providers and Electronic Billing Trading Partners: Medicaid Management Information System Enhancements Will Improve Claims and Enrollment Processes