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]

Featured Links

Authorization Criteria

DHCFP Home

EDI Information

EVS User Manual

Modernization Project

Online Provider Enrollment

Provider Login (EVS)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

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.

Provider Links

Billing Information

E-Prescribing

Forms

Provider Enrollment

Provider Newsletters

Provider Training

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

Maximum Allowable Cost (MAC) Information

Nevada Medicaid and Nevada Check Up Maximum Allowable Cost (MAC) Information
Title
Nevada Medicaid MAC List

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 (855) 455-3311.

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