Attention Nursing Facility and ICF/IID Provider Types 19 and 68: Tracking Process Is Changing on July 1, 2016 [Web Announcement 1141]

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]

Nevada Medicaid and Nevada Check Up News (First Quarter 2017 Provider Newsletter) [Read]

Notifications

Delayed Payments Resolved: Due to a system issue, remittance advices dated April 14, 2017, did not reflect the adjudication of certain claims as expected. The system issue has been corrected. The impacted claims have now been adjudicated and the results appear on remittance advices dated April 21, 2017. We apologize for any inconvenience.
Opioid Therapeutic Class to be Added to Medicaid Services Manual (MSM) Chapter 1200 (Prescribed Drugs). See Web Announcement 1334

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

Nevada Medicaid/Nevada Check Up Fee For Service providers may save valuable time, build staff efficiency and enhance the safety of the prescribing process by establishing an electronic prescribing connection with pharmacies. Electronic prescribing, also referred to as e-prescribing, is the exchange of prescription information through computer-to-computer connections, instead of issuing prescriptions by paper, fax or phone. The computer-to-computer process is safer and more secure for recipients, prescribers and pharmacies, because paper faxes are eliminated.


An additional money-saving benefit for providers who use e-prescribing is that they are exempt from the tamper-resistant prescription pad requirements in effect for all written, non-electronic prescriptions for Medicaid Fee For Service outpatient drugs.


Nevada Medicaid/Nevada Check Up providers who use electronic prescribing now have access to data that will assist them in managing prescriptions for recipients more efficiently. Information the Division of Health Care Financing and Policy (DHCFP) and HP Enterprise Services have made available through prescribers’ practice management software vendors includes:


  • Recipient pharmacy claims history
  • Eligibility data
  • Indication of the need for prior authorization


The recipient data provided by DHCFP and HP Enterprise Services to software vendors is transmitted via technologies that are compliant with Health Insurance Portability and Accountability Act (HIPAA) security requirements.


Contact your practice management software vendor to enable your system for Nevada Medicaid/Nevada Check Up e-prescriptions. The functionality of your system is determined by your software vendor.

The following websites offer detailed information and assistance to prescribers and pharmacies:


www.GetRxConnected.com
Visit this website to complete a short practice compatibility assessment to determine if your practice has the ability to establish a direct electronic connection with pharmacy computers.


www.surescripts.com
Visit the SureScripts® website for steps prescribers and pharmacies can take to get set up to send and receive e-prescriptions (at this website select “Pharmacies” or “Physicians” from the menu bar). This website also contains support information, best practices, communication tools, a list of activated pharmacies in your area and other resources. SureScripts operates the Pharmacy Health Information Exchange™, which facilitates the secure electronic transmission of prescription information between physicians and pharmacists through the provider’s practice management software.

Resources for additional information:

Call SureScripts at 1-866-RxReady or 1-866-797-3239 for questions about electronic prescribing connectivity.

Review the Frequently Asked Questions for answers to a variety of electronic prescribing issues.

Notes:

  • All practice management software vendors who provide e-prescribing software in Nevada must be certified by the Nevada State Board of Pharmacy.
  • Prescribers are responsible for assuring the confidentiality and security of the recipient’s information through e-prescribing.