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]


The Nevada Medicaid Provider Web Portal (PWP) Upgrade has been implemented. With this upgrade, Dental/Orthodontia, Adult Day Health Care (ADHC) and Personal Care Services (PCS) providers can generate a prior authorization request via the Provider Web Portal.[See Web Announcement 1415]

The Nevada Provider Web Portal update resulted in a complete change in the website and its associated webpages. Users of the secure Provider Web Portal are advised to remove all previously bookmarked pages and clear any previous activity in your browser to assist with accessing the system. You can clear previous activity in most browsers by navigating to your menu item for internet or browser options and deleting cookies, temporary internet files, and web form information.

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

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 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]

Provider Web Portal 5.0 Training Registration
Provider Web Portal 5.0 Training Registration
Register for the Provider Web Portal 5.0 training sessions by clicking on the link associated with the location of the training. The training sessions for each location are listed below the appropriate link.
Nevada Provider Training – ALL VIRTUAL ROOM SESSIONS
Use the above link to view the list of the virtual room Provider Web Portal 5.0 training sessions and to register to attend.

Please note: When registering for a training session, please update the preferences to select the appropriate time zone.
Click registration link.
1. On the registration page, click “New York Time” which will display the Preferences page.
2. In the Time zone list, select “San Francisco (Pacific Daylight Time)”.
3. Click Save.
Training Calendar and Registration
Training Calendar
2017 Provider Training Registration Website
Training Announcements
Updated Date Title
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
Annual Medicaid Conference Materials

Below are the presentations shown at the Annual Medicaid Conference.

Date Topic
October 2016 2016 Annual Medicaid Conference: Welcome, Health Information Technology, and Provider Training Opportunities
October 2016 Behavioral Health Highlights
October 2016 Provider Enrollment
October 2016 Web Portal and Online Provider Enrollment
October 2016 The Archives of Hospice: A Governmental Timeline of the Birth and Life of the Medicaid Hospice Benefit
October 2016 Pharmacy Updates
October 2016 Preventive Medicine and Early Periodic Screening Diagnosis and Treatment