DUR Board
Announcements
No Announcements at this time.
Upcoming Meetings
January 26, 2017
April 27, 2017
July 27, 2017
October 19, 2017
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
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
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
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
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