NOTIFICATION:The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. to midnight Pacific Time Sunday, April 27, 2025, for scheduled maintenance:
- 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:
- Contact 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)
Provider Flex is coming soon!
For information and training opportunities on this exciting new enrollment tool, please visit our
Provider Flex page
Attention Provider Type 20:
Please note that the Online Provider Enrollment (OPE) tool will be unavailable to begin any NEW enrollment applications for this provider type from May 5, 2025 – May 12, 2025. Please refer to
Web Announcement 3595 for details.
Multi-Factor Authentication Frequently Asked Questions
Known System Issues-Click HERE
Top 10 Claim Denial Reasons and Resolutions/Workarounds for March 2025 Professional Claims. See
Web Announcement 3616.
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.
