Attention EVV Providers:
In follow up to a communication from Sandata on August 13th regarding the Nevada Claims Visibility Issue in Gainwell’s portal, the delayed file transfer issue is resolved, and impacted EVV providers should now be able to see their claims in the Gainwell portal.
IMPORTANT: Nevada Medicaid continues to monitor the situation. To ensure your concerns are promptly addressed, do not send an email to specific individuals, please send any concerns to nvevv@nvha.nv.gov. We have a team that actively monitors this inbox to ensure that all issues are resolved timely.
NOTIFICATION:The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p.m. to midnight Pacific Time Sunday, August 24, 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)
- Provider Flex
- Gabby®, which includes:
- Gainwell Technologies 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 now LIVE for all provider types!
For information and training opportunities on this exciting new enrollment tool, please visit our
Provider Flex page
Multi-Factor Authentication Frequently Asked Questions
Known System Issues-Click HERE
Top 10 Claim Denial Reasons and Resolutions/Workarounds for June 2025 Professional Claims. See
Web Announcement 3675.
Top Prior Authorization Denial Reasons for the First Quarter of 2025. See
Web Announcement 3630.
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.
