Nevada Medicaid and Nevada Check Up News (Third Quarter 2019 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


Urgent Notification:
Currently, some providers submitting Group Applications, Group Changes and Group Revalidations do not have the option in the Online Provider Enrollment system to select associated providers or change individual providers associated with the group. This is a known issue and a fix is being researched. In the meantime, providers can complete the Associate Provider list and submit it with the request. Individual applications are not impacted by this issue. The Associate Provider list is available at the following link:
https://www.medicaid.nv.gov
/HCP42/hp/ushc/docs/provider
/Associated%20Providers.pdf


Known Modernization System Issues-Click HERE

Top 10 Claim Denial Reasons and Resolutions/Workarounds for August 2019 Claims. See Web Announcement 1979.

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

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

Notice Date Title
June 2019 For Review at June 27, 2019, Meeting: Attention-Deficit/Hyperactivity Disorder (ADHD) Agents
June 2019 For Review at June 27, 2019, Meeting: Anticonvulsants
June 2019 For Review at June 27, 2019, Meeting: Antidepressants, SSRI
June 2019 For Review at June 27, 2019, Meeting: Anti-inflammatory Agents – Misc., Topical
June 2019 For Review at June 27, 2019, Meeting: Insulin and Combination Agents
June 2019 For Review at June 27, 2019, Meeting: Levodopa Combinations
June 2019 For Review at June 27, 2019, Meeting: Multiple Sclerosis Agents
June 2019 For Review at June 27, 2019, Meeting: Ophthalmic Agents, Intraocular Pressure (IOP)-Modifying
June 2019 For Review at June 27, 2019, Meeting: Oral Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
June 2019 For Review at June 27, 2019, Meeting: Pulmonary Arterial Hypertension Agents
June 2019 For Review at June 27, 2019, Meeting: Respiratory Anticholinergics
June 2019 For Review at June 27, 2019, Meeting: Respiratory Beta-Agonists
June 2019 For Review at June 27, 2019, Meeting: Respiratory Beta-Agonists Combination Agents
June 2019 For Review at June 27, 2019, Meeting: Respiratory Corticosteroids
June 2019 For Review at June 27, 2019, Meeting: Topical Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
March 2019 For Review at March 28, 2019, Meeting: Androgens
March 2019 For Review at March 28, 2019, Meeting: Antifungals, Oral
March 2019 For Review at March 28, 2019, Meeting: Antifungals, Topical
March 2019 For Review at March 28, 2019, Meeting: Antivirals, Influenza
March 2019 For Review at March 28, 2019, Meeting: Calcitonin Gene Related Peptide (CGRP) Inhibitors
March 2019 For Review at March 28, 2019, Meeting: Epinephrine Products for Anaphylaxis
March 2019 For Review at March 28, 2019, Meeting: Hepatitis C Direct-Acting Antivirals
March 2019 For Review at March 28, 2019, Meeting: Neuropathic Pain and Fibromyalgia Agents
March 2019 For Review at March 28, 2019, Meeting: Ophthalmic Agents, Intraocular Pressure (IOP)-Modifying
March 2019 For Review at March 28, 2019, Meeting: Ophthalmic Immunomodulators
March 2019 For Review at March 28, 2019, Meeting: Opioid Use Disorder Agents
2018 All 2018 Meetings
2017 All 2017 Meetings
2016 All 2016 Meetings
2015 All 2015 Meetings
2014 All 2014 Meetings
2013 All 2013 Meetings
2012 All 2012 Meetings
2011 All 2011 Meetings
2010 All 2010 Meetings
2009 All 2009 Meetings
2008 All 2008 Meetings
2007 All 2007 Meetings
2006 All 2006 Meetings