Nevada Medicaid and Nevada Check Up News (Second Quarter 2017 Provider Newsletter) (Updated August 4, 2017) [Read]

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]

Notifications

The Division of Health Care Financing and Policy (DHCFP) has selected LIBERTY Dental Plan of Nevada (LIBERTY) as the new Managed Care Dental Benefits Administrator (DBA) effective January 1, 2018, to serve recipients enrolled in a Managed Care Organization (MCO).[See Web Announcement 1442]

Dates Scheduled for Nevada Medicaid Community Paramedicine Training Sessions.See Web Announcement 1454

PCS, Prior Authorization and Web Portal Upgrade Frequently Asked Questions (FAQs) [Review]

Reminder of Requirements Regarding Ordering, Prescribing or Referring Provider on Claims. See Web Announcement 1372

Enrollment Termination Frequently Asked Questions (FAQs) [Review]

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

Sunday
8:00PM - 12:30AM

Contact the Provider Training Unit

Provider Services Field Representative Team Territories: Please refer to the attached document to determine which Field Representative is assigned to assist you with inquiries.


Nevada Medicaid and the Division of Health Care Financing and Policy (DHCFP)/Nevada Medicaid are committed to helping providers understand billing policy and successful claim submission. With these priorities in mind, we offer opportunities to increase your knowledge throughout the year in a variety of locations, formats and times, including lunch and learn sessions held during lunch hours to minimize time needed to be away from regular business hours. Instructor-led virtual training is also a great opportunity when travel is not possible, or when multiple staff from an office plan to attend.


Training is free of charge and we encourage the attendance of billing staff, billing agencies, direct practitioners/health care providers, office managers, admitting and front-desk staff, etc.


Provider training workshop schedules will be posted quarterly in a Web Announcement and on this webpage. Registration is required to attend the scheduled workshops. To register, simply select the 2017 Provider Training Registration Website link below, select the workshop of your choice, complete the required information and submit.


If you have difficulty registering, please send an email to our Provider Services Field Representative Team at NevadaProviderTraining@dxc.com. Please include your name, contact information, and the workshop you are attempting to register to attend. A Field Representative will contact you to assist with the registration process.


In addition to the training workshops scheduled throughout the year, Provider Services Field Representatives are available in your area to assist when you have questions, concerns or additional training needs. As a reminder, the Annual Medicaid Conference is not a venue to discuss specific billing issues as they may include sensitive and confidential information. Please do not hesitate to reach out to your Field Representative as the need arises. If you are unsure who your representative is, please select the Provider Services Field Representative Team Territories link and review Web Announcement 719 for additional details.

2016 Nevada Medicaid Provider Survey Results

[Review Survey Results]  [Web Announcement 1183]

Training Calendar and Registration
Title
Training Calendar
2017 Provider Training Registration Website
Training Announcements
Updated Date Title
Oct. 06, 2017 Dates Scheduled for Nevada Medicaid Community Paramedicine Training Sessions
Aug. 29, 2017 Upcoming Nevada Medicaid Community Paramedicine Provider Training and Enrollment Sessions
Jan. 6, 2016 First Quarter 2016 Provider Training Workshops
March 15, 2016 Second Quarter 2016 Provider Training Workshops
June 21, 2016 Third Quarter 2016 Provider Training Workshops
March 31, 2016 Attention Provider Type 33: Register Now for Targeted Training for DMEPOS Providers
April 21, 2016 Nevada Medicaid Community Paramedicine Provider Training and Enrollment Session
July 14, 2016 Attention Provider Type 25: Targeted Training Scheduled for Optometry Providers
Self-Paced Training

Self-paced, computer-based training courses available on demand for providers.

Group Code Training Portal
PROV Nevada Medicaid Training Portal
Date Topic
July 2017 Learning Management System (LMS) Tip Sheet

Serious Occurrence Report (SOR) Form Instruction Video
Workshop Materials

Workshop materials will be posted to this site upon completion of the workshop.

Date Topic
July 2017 Provider Web Portal Prior Authorization Training
July 2017 Provider Web Portal Personal Care Services Training
July 2017 How to Create a Prior Authorization (Tip Sheet)
March 2017 Hospice Provider Training
March 2017 Payerpath CMS-1500 Training
March 2017 Payerpath UB-04 Training
March 2017 Payerpath Dental Training
June 2016 Nevada Medicaid Nursing Facility PASRR/LOC Training
June 2016 Nevada Medicaid Nursing Facility and ICF/IID Tracking Process Training
January 2016 Claim Appeals, Adjustments and Voids
December 2015 PASRR Training
August 2015 ICD-10 Overview
August 2014 National Drug Code (NDC): Billing for Outpatient Drugs Administered in Physician Offices, Urgent Care Settings, Clinics and Outpatient Facilities
September 2013 New Level Of Care (LOC) Screening Tool for PASRR Users