Nevada Medicaid and Nevada Check Up News (Second Quarter 2018 Provider Newsletter) [Read]

Behavioral Health Providers Invited to Attend Monthly DHCFP Webinars [See Web Announcement 1628]

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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Authorization Criteria

DHCFP Home

EDI Enrollment Forms and Information

EVS User Manual

Online Provider Enrollment

Provider Login (EVS)

Prior Authorization

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Notifications

2018 Nevada Medicaid Conference Scheduled [See Web Announcement 1650]

Urgent: The issue causing the delay in the adjudication of claims for physician-administered drugs has been resolved. Claims submitted July 2, 2018, forward will adjudicate correctly. The adjudication of the pended claims will appear on remittance advices dated July 20, 2018, and/or July 27, 2018.

Status of Behavioral Health Outpatient Treatment Claims for Psychiatric Visits That Denied In Error [See Web Announcement 1647]

Preparations Continue for the Medicaid Management Information System Modernization Project – Trading Partner Enrollment and Certification (Testing) [See Web Announcement 1655]

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

Provider Links

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E-Prescribing

Forms

Provider Enrollment

Provider Newsletters

Provider Training

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

Pharmacy Prescriber List

The Centers for Medicare & Medicaid Services (CMS) has made available National Plan and Provider Enumeration System (NPPES) health care provider data via the internet. User IDs and passwords are not required and access to the data is free.


The NPI Registry and the NPPES Downloadable File are tools Nevada Medicaid pharmacy providers may use to obtain a physician’s National Provider Identifier (NPI) when entering the prescriber’s ID on claims.


The NPI Registry and the NPPES Downloadable File are accessible via the following links: