NOTIFICATION:The following Nevada Medicaid Provider Web Portal services will be unavailable from 7:30 p.m. to 9:30 p.m. Pacific Time Friday, August 1, 2025, for system updates:

• Secure Provider Web Portal (PWP), which includes:
  • Recipient Eligibility
  • Provider Claim Appeals*
  • Prior Authorization (PA) system
  • Claims Submission
  • Secure Correspondence*
• 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
• Trading Partner File Transfer (EDI/SFTP)
• Business Partner File Transfer (EDI/SFTP)

* PWP Secure Correspondence, including Claim Appeals, is unavailable from August 1, 2025, to August 3, 2025.

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.