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

New Nevada Medicaid Provider Revalidation Report Available for Providers [See Web Announcement 1673]

Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing) [See Web Announcement 1674]

Attention All Providers and Electronic Billing Trading Partners: Medicaid Management Information System Enhancements Will Improve Claims and Enrollment Processes. [See Web Announcement 1559]

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
Known System Issues and Identified Workarounds

Modernization (New) Medicaid System Web Announcements

DateAnnouncement NumberTopic
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