Nevada Medicaid and Nevada Check Up News (First Quarter 2025 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]

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Authorization Criteria

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Provider Flex

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Prior Authorization

Search Fee Schedule

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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.

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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

Provider Flex - Nevada Medicaid's New Provider Enrollment Portal
Table of Contents
Important Dates
Date Title Details
03/14/2025 Training Registration Registration for Provider Flex training opens in Gainwell LMS
04/07/2025 Training Begins Group 1 (PT 24/72/74/77) and Group 2 (PT 20) training sessions
Week of 04/21/2025 Group 1 Go-Live Group 1 (PT 24/72/74/77) providers go live in Provider Flex enrollment tool
Week of 05/12/2025 Group 2 Go-Live Group 2 (PT 20) providers go live in Provider Flex enrollment tool
Week of 05/26/2025 Group 3 Training Begins Group 3 (PT 14/82) training sessions
Week of 06/16/2025 Group 3 Go-Live Group 3 (PT 14/82) providers go live in Provider Flex enrollment tool
Week of 07/07/2025 Full Go-Live All providers live in Provider Flex enrollment tool
Training Opportunities
If you would like to register for training opportunities, click on the Provider Training Portal button below to access the Absorb Learning Management System (LMS) and enroll in one of the sessions. For information on registering, logging in, and navigating the Absorb LMS please click the Videos button below.

Key Features
Attachment Process, click for details
Attachment Process, On Demand, Compliance Adherence, Improved Efficiency, Time Savings
Doc-u-sign, click for details
Doc-u-sign, Convenient Use, Enhanced Security, Integrated Into Tool, Time Savings
Reaccessing Data, click for details
Reaccessing Data, Auto Save, Enhanced Security, Password Resets, Time Savings
Integrated Checklists, click for details
Integrated Checklists, Convenient Use, Compliance Adherence, Improved Efficiency, Time Savings
Dashboard, click for details
Dashboard, Applications List, Intuitive Navigation, Enrollment Resources, Import Applications
Errors, click for details
Errors
Cover Card Content
News and Updates
Date Title Details
March 31, 2025 WA 3595 Attention All Providers: Blackout Periods for the Phased Implementation of Provider Flex
March 31, 2025 WA 3594 Attention All Providers: Complete Existing Provider Enrollment Applications Prior to Provider Flex Implementation
March 14, 2025 WA 3579 Attention All Providers, Delegates and Staff: Upcoming Training Sessions for Provider Flex, Gainwell Powered Provider Enrollment - Registration Now Open
March 3, 2025 WA 3570 Attention All Providers: Provider Flex New Feature – Reaccessing Data
February 26, 2025 WA 3566 Attention All Providers: Provider Flex New Feature – Integrated Checklists
February 12, 2025 WA 3553 Attention All Providers: Provider Flex New Feature – Attachment Process
January 29, 2025 WA 3542 Attention All Providers: Provider Flex New Feature – Dashboard
November 14, 2024 WA 3482 Attention All Providers: New Provider Enrollment Tool Phased Implementation (Updated January 28, 2025)
October 9, 2024 WA 3457 Attention All Providers: A New Provider Enrollment Solution is Coming Soon!
Resources
Title Description
Coming Soon Please return periodically for updates to our resources list, which will include an FAQ, self-paced training videos, and quick reference guides, to name a few.
Provider Flex Frequently Asked Questions (FAQ) A list of the most frequently asked questions about the Provider Flex Enrollment Portal. This document will be updated periodically to reflect new questions.
Subscribe to Provider Flex Frequently Asked Questions Please enter your name and email address in this form to subscribe to our weekly frequently asked questions (FAQ) regarding Provider Flex. Starting in April 2025, this FAQ will be updated and sent out weekly based on questions submitted.