NOTIFICATION:The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. to midnight Pacific Time Tuesday, April 8, 2025, for system updates:
- Secure Provider Web Portal (PWP), which includes:
- Recipient Eligibility
- Provider Claim Appeals
- Prior Authorization (PA) system
- Claims Submission
- Online Provider Enrollment (OPE)
- Gabby®, which includes:
- Customer Service Center (877) 638-3472
- Automated Response System (ARS) (800) 942-6511
- Real time CAQH/CORE EDI eligibility and claim verification
- Provider Pre-Admission Screening Resident Review (PASRR)
- Trading Partner File Transfer (EDI/SFTP)
- Business Partner File Transfer (EDI/SFTP)
Multi-Factor Authentication Frequently Asked Questions
Known System Issues-Click HERE
Top 10 Claim Denial Reasons and Resolutions/Workarounds for February 2025 Professional Claims. See
Web Announcement 3593.
Top Prior Authorization Denial Reasons for the Fourth Quarter of 2024. See
Web Announcement 3458.
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.