Nevada Medicaid and Nevada Check Up News (Third 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) 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]

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

Enrollment Termination Frequently Asked Questions (FAQs) [Review]

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

Title Date Updated
Preferred Drug List (Effective June 1, 2017) June 2, 2017
Preferred Drug List (Effective March 1, 2017) April 17, 2017
Preferred Drug List (Effective January 1, 2017) Dec. 29, 2016
Preferred Drug List (Effective July 1, 2016) June 30, 2016
Preferred Drug List (Effective March 1, 2016) March 9, 2016
Preferred Drug List (Effective February 22, 2016) Feb. 25, 2016
Preferred Drug List (Effective January 1, 2016) Jan. 8, 2016
Preferred Drug List (Effective October 1, 2015) Nov. 24, 2015
Preferred Drug List (Effective September 1, 2015) Sept. 1, 2015
Preferred Drug List (Effective July 1, 2015) July 1, 2015
Preferred Drug List (Effective January 1, 2015) Dec. 31, 2014
Preferred Drug List (Effective September 1, 2014) Aug. 28, 2014
Preferred Drug List (Effective June 1, 2014) June 2, 2014
Preferred Drug List (Effective January 1, 2014) Jan. 6, 2014
Preferred Drug List (Effective August 5, 2013) Aug. 5, 2013
Preferred Drug List (Effective May 3, 2013) May 6, 2013
Preferred Drug List (Effective March 25, 2013) March 18, 2013
Preferred Drug List (Effective January 14, 2013) Jan. 14, 2013
Preferred Drug List (Effective September 24, 2012) Oct. 2, 2012
Preferred Drug List (Effective July 27, 2012) July 27, 2012
Preferred Drug List (Effective April 30, 2012) April 30, 2012
Preferred Drug List (Effective November 2, 2011) (Previously effective August 30, 2011, September 15, 2011 and September 29, 2011) July 15, 2011
Preferred Drug List (Effective June 30, 2011) June 30, 2011
Preferred Drug List (Effective April 4, 2011) Apr. 4, 2011
Preferred Drug List (Effective March 9, 2011) Feb. 8, 2011
Preferred Drug List (Effective November 17, 2010) Oct. 28, 2010
Preferred Drug List (Effective October 8, 2010) Oct. 8, 2010
Preferred Drug List (Effective September 17, 2010) Aug. 27, 2010
Preferred Drug List (Effective July 1, 2010) (Revised August 4, 2010) June 22, 2010
Preferred Drug List (Effective June 30, 2010) (Previously effective June 23, 2010) June 24, 2010
Preferred Drug List (Effective March 16, 2010) Feb. 16, 2010
Preferred Drug List (Effective September 29, 2009) Aug. 18, 2009
Preferred Drug List (Effective June 23, 2009) (Revised May 8, 2009) May 4, 2009
Preferred Drug List (Effective March 12, 2009) Jan. 20, 2009
Preferred Drug List (Effective December 17, 2008) Nov. 13, 2008
Preferred Drug List (Effective August 20, 2008) Aug. 20, 2008
PDL Forms

Pharmacy forms are for completion and submission by current Medicaid providers only.

Form Number Title
FA-62 Request for Pharmaceutical Product Review
FA-63 PDL Exception Prior Authorization Form
PDL Notifications
Notice Date Title
June 2, 2017 Preferred Drug List (PDL) Changes Effective June 1, 2017 (web announcement)
March 3, 2017 Preferred Drug List (PDL) Changes Effective March 1, 2017 (web announcement)
Dec. 29, 2016 Preferred Drug List (PDL) Changes Effective January 1, 2017 (web announcement)
June 30, 2016 Preferred Drug List (PDL) Changes Effective July 1, 2016 (web announcement)
March 9, 2016 Preferred Drug List (PDL) Changes Effective March 1, 2016 (web announcement)
Jan. 8, 2016 Preferred Drug List (PDL) Changes Effective January 1, 2016 (web announcement)
Aug. 24, 2015 Naloxone to be Listed as Preferred on Preferred Drug List
July 1, 2015 Preferred Drug List (PDL) Changes Effective July 1, 2015 (web announcement)
Dec. 31, 2014 Preferred Drug List (PDL) Changes Effective January 1, 2015 (web announcement)
Aug. 28, 2014 Preferred Drug List (PDL) Changes Effective September 1, 2014
June 10, 2014 Brand Name Medications on PDL Pay at “Lesser-of Logic” Pricing (Updated June 24, 2014)
June 5, 2014 Preferred Drug List (PDL) Changes Effective June 1, 2014
Jan. 6, 2014 Preferred Drug List (PDL) Changes Effective January 1, 2014
Aug. 5, 2013 Preferred Drug List (PDL) Changes Effective August 5, 2013
June 6, 2013 Generic Rizatriptan and Rizatriptan MLT Added to Preferred Drug List
May 6, 2013 Preferred Drug List (PDL) Changes Effective May 3, 2013
March 18, 2013 Preferred Drug List (PDL) Changes Effective March 25, 2013
Jan. 14, 2013 Preferred Drug List (PDL) Changes Effective January 14, 2013
Oct. 5, 2012 Generic Form of Singular® Added to PDL
Oct. 5, 2012 Updated Payment Algorithm for Brand Name Medications
Oct. 2, 2012 Preferred Drug List (PDL) Changes Effective September 24, 2012
Oct. 2, 2012 Preferred Drug List (PDL) Changes Effective June 1, 2012
Oct. 4, 2011 Nevada Medicaid Removes Carisoprodol from Preferred Drug List
Jul. 18, 2011 UPDATED OCTOBER 3, 2011: Preferred Drug List (PDL) Changes Effective November 2, 2011 (Previously effective August 30, 2011, September 15, 2011 and September 29, 2011)
Feb. 8, 2011 Preferred Drug List (PDL) Changes Effective March 9, 2011
Nov. 9, 2010 Preferred Drug List (PDL) Changes Effective November 17, 2010
Aug. 27, 2010 UPDATED SEPTEMBER 2, 2010: Preferred Drug List (PDL) Changes Effective September 17, 2010
June 15, 2010 New Therapeutic Drug Classes Added To PDL Effective July 1, 2010
May 20, 2010 UPDATED JUNE 29, 2010: Preferred Drug List (PDL) Changes Effective June 30, 2010 (Previously effective June 23, 2010)
Feb. 16, 2010 Preferred Drug List (PDL) Changes Effective March 16, 2010
Aug. 18, 2009 Preferred Drug List (PDL) Changes Effective September 29, 2009
May 4, 2009 Preferred Drug List (PDL) Changes Effective June 23, 2009
Jan. 20, 2009 Preferred Drug List (PDL) Changes Effective March 12, 2009
Nov. 13, 2008 Preferred Drug List (PDL) Changes Effective December 17, 2008
Sept. 4, 2008 Reminder for Prescribers and Pharmacies Regarding Preferred PPIs
Aug. 22, 2008 Preferred Drug List (PDL) Changes Effective September 25, 2008
May 23, 2008 Preferred Drug List (PDL) Changes Effective June 3, 2008
May 7, 2008 Annual Review of Preferred Drug List (PDL) - June 26, 2008
Jan. 23, 2008 Update to the Nevada Medicaid Preferred Drug List (PDL) - Effective February 5, 2008
Nov. 14, 2007 Effective Date for Preferred Drug List (PDL) Changes is Nov. 15, 2007
Aug. 13, 2007 REVISED Update to the Nevada Medicaid Preferred Drug List (PDL) - Changes Postponed
July 25, 2007 Update to the Nevada Medicaid Preferred Drug List (PDL) - Effective August 15, 2007
Jan. 30, 2007 Update to the Nevada Medicaid Preferred Drug List (PDL) - Effective January 30, 2007
Sept. 1, 2006 Update to the Nevada Medicaid Preferred Drug List (PDL) - Effective September 27, 2006
May 9, 2006 Annual Preferred Drug List (PDL) Review on July 27, 2006
Nov. 17, 2005 Update to the Nevada Medicaid Preferred Drug List (PDL) - Effective January 17, 2006
Oct. 14, 2005 Effective Date Set for PDL Changes
June 13, 2005 2005 Annual PDL Review
May 16, 2005 Updates to PDL and Clinical PA Edits
Nov. 12, 2004 Drug Classes Added to the PDL
Nov. 8, 2004 Kytril Added to PDL
Aug. 27, 2004 Updated PDL
Aug. 20, 2004 Updated PDL
July 26, 2004 Recipient Notification of PDL
July 19, 2004 PDL Status and Prior Authorization Requirements
June 9, 2004 PDL Rollout and Education Schedule
Feb. 17, 2004 PDL Questions and Answers
Feb. 17, 2004 Introduction of the PDL Program for Pharmacy Services
Nov. 7, 2003 The Nevada Medicaid PDL Initiative