Nevada Medicaid and Nevada Check Up News (First Quarter 2022 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


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.

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

Month Title
March 2022 E-Binder March 2022
December 2021 E-Binder December 2021
September 2021 E-Binder September 2021 (Updated September 16, 2021)
June 2021 E-Binder June 2021 (Updated June 8, 2021)
March 2021 E-Binder March 2021
January 2021 E-Binder January 2021
December 2020 E-Binder December 2020
September 2020 E-Binder September 2020
June 2020 E-Binder June 2020
March 2020 E-Binder March 2020
September 2019 E-Binder September 2019
June 2019 E-Binder June 2019
March 2019 E-Binder March 2019
November 2018 E-Binder November 2018
September 2018 E-Binder September 2018
June 2018 E-Binder June 2018
March 2018 E-Binder March 2018
December 2017 E-Binder December 2017
September 2017 E-Binder September 2017
March 2017 E-Binder March 2017
December 2016 E-Binder December 2016
September 2016 E-Binder September 2016
March 2016 E-Binder March 2016
December 2015 E-Binder December 2015
September 2015 E-Binder September 2015
March 2015 E-Binder March 2015
November 2014 E-Binder November 2014