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 (Second Quarter 2017 Provider Newsletter) [Read]

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

Featured Links

Authorization Criteria

DHCFP Home

EDI Enrollment Forms and Information

EVS User Manual

Online Provider Enrollment

Provider Login (EVS)

Prior Authorization

Search Fee Schedule

Search Providers

Notifications

In preparation for the Nevada Provider Web Portal upgrade, the online Prior Authorization system will be unavailable from 5:00 p.m. PDT on July 21, 2017, through 8:00 a.m. PDT on July 24, 2017. The Provider Web Portal will be available beginning at 8:00 a.m. PDT on July 24, 2017. Pharmacy PAs can continue to be submitted via fax (855-455-3303) or phone (855-455-3311) through OptumRx.

Attention All Nevada Medicaid Providers: Managed Care Organization (MCO) Changes Effective 2017. See Web Announcement 1380

PCS, Prior Authorization and Web Portal Upgrade Frequently Asked Questions (FAQs) [Review]

Reminder of Requirements Regarding Ordering, Prescribing or Referring Provider on Claims. See Web Announcement 1372

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

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