DUR Board
Announcements
No announcements at this time.
Upcoming Meetings
January 25, 2018
April 26, 2018
July 26, 2018
October 18, 2018
DUR Clinical Criteria for Review
Meeting agendas are on the DHCFP’s Public Notices webpage.
Nevada Department of
Health and Human Services
Division of Health Care Financing and Policy Provider Portal
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]
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]
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]
Provider Links
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