Nevada Medicaid and Nevada Check Up News (Fourth 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

Known Modernization System Issues-Click HERE

Attention Providers:  EFT Payments due to providers on Friday, 2/8/19 have been delayed until Monday, 2/11/19.

Paper claims are no longer accepted by Nevada Medicaid. Please refer to Web Announcement 1733 and Web Announcement 1829 for additional information.

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

Monday
8:00PM - 12:00AM

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.

Title
ICD-10-CM Emergency Diagnosis Codes for Non-U.S. Citizens with Emergency Medical Only Coverage
ICD-9-CM Emergency Diagnosis Codes for Non-U.S. Citizens with Emergency Medical Only Coverage
Authorization Criteria Search Functions Enhanced on the Provider Web Portal
ASC Payment Groups and Procedures
DMEPOS Fee Schedule
Revenue Codes for Inpatient Hospitals and RTCs
ICD-9 Diagnosis Codes Accepted by Nevada Medicaid Supporting Medical Necessity for Cesarean Section
ICD-10 Diagnosis Codes Accepted by Nevada Medicaid Supporting Medical Necessity for Cesarean Section