Nevada Medicaid and Nevada Check Up News (Second Quarter 2020 Provider Newsletter) [Read]

Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled [See Web Announcement 2009]

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


Nevada Medicaid COVID-19

Nevada Health Response

Known Modernization System Issues-Click HERE

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

Top 10 Claim Denial Reasons and Resolutions/Workarounds for July 2020 Claims. See Web Announcement 2279.

Top Prior Authorization Denial Reasons for the Second Quarter of 2020. See Web Announcement 2254.

Top 10 Enrollment Return Reasons and Resolutions for June 2020 Submissions. See Web Announcement 2255.

Attention Providers Using the Authorization Criteria Function: Results that return prior authorization (PA) requirements are accurate. For results that return “There are no records found based on the search criteria,” there may be a PA requirement if limits have been exceeded. To verify PA requirements, please refer to the Medicaid Services Manual (MSM) Chapter for your service type at dhcfp.nv.gov and the Billing Guide for your provider type at www.medicaid.nv.gov.

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

Announcements
Notice Date Title
Aug. 28, 2020 Addition of OneTouch® Blood Glucose Meter to Preferred Nevada Medicaid Diabetic Supply Program
March 3, 2020 Updated Details Regarding Diabetic Supply Policy Changes
Feb. 27, 2020 DHCFP to Host Diabetic Supply Preferred Product Educational Webinar
Feb. 6, 2020 Updates to Diabetic Supply Policy Changes
Jan. 22, 2020 Webinar Scheduled Regarding Clinical and Economic Value of Continuous Glucose Monitoring and Improved Time in Range
Dec. 30, 2019 Diabetic Supply Policy Changes for Nevada Medicaid
Dec. 4, 2019 Diabetic Supply Policy Changes for Nevada Medicaid
Nov. 14, 2019 Diabetic Supply Policy Changes for Nevada Medicaid
Dec. 22, 2017 Diabetic Supply Changes for Nevada Medicaid (Effective January 1, 2018)
Jan. 10, 2017 Diabetic Supply Changes for Nevada Medicaid
March 12, 2014 Product Recall from Abbott Diabetes Care: FreeStyle Flash® and FreeStyle® Blood Glucose Meters
Dec. 9, 2013 Urgent Product Recall from Abbott Diabetes Care: FreeStyle® and FreeStyle Lite® Blood Glucose Test Strips
Dec. 30, 2010 Urgent Product Recall Effective December 22, 2010: Blood Glucose Test Strips from Abbott Diabetes Care
Oct. 14, 2010 Policy Clarification for PT 28 and PT 33 Providers of Diabetic Supplies
Feb. 3, 2009 Diabetic Supply Program Begins March 1, 2009
Billing and Product Information
Notice Date Title
Sep. 18, 2020 Diabetic Supply Program Billing Information
Diabetic Supply Program FAQs
Notice Date Title
Sep. 18, 2020 Diabetic Supply Program Policy Frequently Asked Questions (FAQs)
Resources
Title
DHCFP Diabetic Supply Educational Webinar
Medicaid Services Manual, Chapter 1200
Abbott Diabetes Care (FreeStyle Libre 14-Day) Website
Dexcom Website
Dexcom Contacts and Resources
Omnipod Website
Omnipod Contacts and Resources
Omnipod DASH™ System