Nevada Medicaid and Nevada Check Up News (Fourth Quarter 2021 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]

Featured Links

AuthentiCare® Nevada

Authorization Criteria

DHCFP Home

EDI Information

EVS User Manual

Modernization Project

Online Provider Enrollment

Provider Login (EVS)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

Self-Paced Training Courses

Notifications


Nevada Medicaid COVID-19

Nevada Health Response

Known Modernization System Issues-Click HERE

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

Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2021 Claims. Web Announcement 2472.

Top Prior Authorization Denial Reasons for the First Quarter of 2021. See Web Announcement 2505.

Top 10 Enrollment Return Reasons and Resolutions for First Quarter 2021 Submissions. See Web Announcement 2501.

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.

Provider Links

AuthentiCare® Nevada

Billing Information

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

Monday
8:00PM - 12:00AM

Silver State Scripts Board

Announcements

The Silver State Scripts Board consists of members who are Director-appointed physicians and pharmacists. Members must be licensed to practice in the State of Nevada as either an actively practicing physician or an actively practicing pharmacist.


Meetings are held quarterly and are open to the public. Anyone wishing to address the Silver State Scripts Board may do so. Public comment is limited to three minutes per speaker/organization (due to time constraints). Anyone presenting documents for consideration must provide sufficient copies for each Board Member and an electronic copy to the DHCFP Coordinator for official record.


For pharmacists and physicians wishing to serve on the Silver State Scripts Board, please email your contact information, National Provider Identifier (NPI) and current CV/Resume to rxinfo@dhcfp.nv.gov.


Upcoming Meetings

2022:

March 24, 2022

June 23, 2022

September 22, 2022

December 15, 2022


2023:

March 23, 2023

June 22, 2023

September 28, 2023

December 14, 2023


Silver State Scripts Board Meeting Binder

Silver State Scripts Board Clinical Meeting Information

Silver State Scripts Board Member List

P&T Past Meeting Material


Meeting agendas are on the DHCFP’s Public Notices webpage.