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

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

The Division of Health Care Financing and Policy (DHCFP) will implement a new, modernized Medicaid Management Information System (MMIS) by early 2019. The changes will improve electronic claims submission and enhance electronic options for users to alleviate the need for paper communications. See Web Announcement at 1559 www.medicaid.nv.gov

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

National Prescription Drug Take Back Day April 28, 2018 [Information]

Physician and Laboratory Payment Methodology Changes Implemented. [See Web Announcement 1484]

The Division of Health Care Financing and Policy (DHCFP) has selected LIBERTY Dental Plan of Nevada (LIBERTY) as the new Managed Care Dental Benefits Administrator (DBA) effective January 1, 2018, to serve recipients enrolled in a Managed Care Organization (MCO). [See Web Announcement 1442]

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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.

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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