Nevada Medicaid and Nevada Check Up News (Second 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]

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Notifications

2018 Nevada Medicaid Conference Scheduled [See Web Announcement 1650]

Urgent: The issue causing the delay in the adjudication of claims for physician-administered drugs has been resolved. Claims submitted July 2, 2018, forward will adjudicate correctly. The adjudication of the pended claims will appear on remittance advices dated July 20, 2018, and/or July 27, 2018.

Status of Behavioral Health Outpatient Treatment Claims for Psychiatric Visits That Denied In Error [See Web Announcement 1647]

Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing) [See Web Announcement 1655]

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

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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
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Sunday
8:00PM - 12:30AM

Maximum Allowable Cost (MAC) Information

Nevada Medicaid and Nevada Check Up Maximum Allowable Cost (MAC) Information
Title
Nevada Medicaid MAC List
MAC List Changes Effective April 12, 2012

The Maximum Allowable Cost (MAC) List, for use by pharmacies, provides Nevada Medicaid pricing for multi-source generic drugs.

The MAC list is updated monthly and managed by Nevada Medicaid. If you have any questions about the MAC List, please contact our Clinical Call Center at (800) 505-9185.

Form
Form Number Title
FA-60 MAC List Price Research Request Form
Announcements & Communications
Date Title
June 12, 2009 Login Required to Access the Maximum Allowable Cost (MAC) List
Dec. 16, 2005 Upcoming Nevada Medicaid Changes
Jan. 5, 2005 MAC Frequently Asked Questions
Dec. 16, 2003 Introduction