Nevada Medicaid and Nevada Check Up News (First Quarter 2024 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]

Featured Links

DHCFP EVV

Authorization Criteria

DHCFP Home

EDI Information

EVS User Manual

Modernization Project

Online Provider Enrollment

Provider Login (EVS)

Prior Authorization

Search Fee Schedule

Search Providers

Claims

Trading Partner

Self-Paced Training Videos

Notifications

URGENT NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 6 p.m. to 8 p.m. Pacific Time Wednesday, May 15, 2024, for maintenance:
  • Secure Provider Web Portal (Electronic Verification System – EVS), which includes:
    • Recipient Eligibility
    • Provider Claim Appeals
    • Prior Authorization (PA) system
    • Claims Submission
  • Online Provider Enrollment (OPE)
  • Gabby®, which includes:
    • Customer Service Center (877) 638-3472
    • Automated Response System (ARS) (800) 942-6511
  • Real time CAQH/CORE EDI eligibility and claim verification
  • Provider PASRR

Electronic Visit Verification (EVV) Claim Update: Providers using Sandata for claims submission are advised to allow 24 hours after claim submission for claim details to be visible in the Medicaid Management Information System (MMIS). Please be advised that claims must be submitted before noon Pacific Time on Fridays to be included in the following weeks’ remittance advice.

Unwinding COVID-19 Information

Known System Issues-Click HERE

NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 6 p.m. to midnight Pacific Time Sunday, May 19, 2024, for scheduled maintenance:
  • Secure Provider Web Portal (Electronic Verification System – EVS), which includes:
    • Recipient Eligibility
    • Provider Claim Appeals
    • Prior Authorization (PA) system
    • Claims Submission
  • Online Provider Enrollment (OPE)
  • Gabby®, which includes:
    • Customer Service Center (877) 638-3472
    • Automated Response System (ARS) (800) 942-6511
  • Real time CAQH/CORE EDI eligibility and claim verification
  • Provider PASRR
  • Trading Partner File Transfer (EDI/SFTP)
  • Business Partner File Transfer (EDI/SFTP)

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.

Provider Links

DHCFP EVV

Billing Information

Forms

Provider Enrollment

Provider Newsletters

Provider Training

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

Enhance your search:
  • Note that you can use "*" and "?" as wildcards.

  • Enclosing more than one word in double quotes ("search engine") will search for the exact phrase.
Example Zoom search template page

Search this site

Enter one or more keywords to search for using the Zoom Search Engine.
Note that '*' and '?' wildcards are supported.



Match:

Search results for: apply for medicaid

The following word(s) are in the skip word list and have been omitted from your search: "for"

1042 results found containing all search terms. 3391 results found containing some search terms.

444 pages of results.
Sorted by relevance / Sort by date
491. NV_BillingGuidelines_PT22-attachmentA_04-21-17.pdf
... the ADA. Applicable FARS/DFARS apply. Service for Persons Pregnancy-Related Service for ... and Prior Authorization Requirements for the Nevada Medicaid and Nevada Check Up Dental Program - ...
Terms matched: 2  -  Score: 912  -  22 Sep 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_04-21-17.pdf
492. NV_BillingGuidelines_PT22-attachmentA_02-03-17.pdf
... the ADA. Applicable FARS/DFARS apply. Service for Persons Pregnancy-Related Service for ... and Prior Authorization Requirements for the Nevada Medicaid and Nevada Check Up Dental Program - ...
Terms matched: 2  -  Score: 912  -  22 Sep 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22-attachmentA_02-03-17.pdf
493. NV_BillingGuidelines_PT22_20110621.pdf
... Handicapping Labiolingual Deviation (This does not apply to Nevada Check Up (HLD) ... first day of eligibility. Recipients Magellan Medicaid Administration, Inc. website in these ...
Terms matched: 2  -  Score: 911  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT22_20110621.pdf
494. Quarterly Training for Medicaid Providers 2013-0122.pdf
... the primary insurance denied the claim or applied payment to the co-insurance and/or ... Quarterly Training for Medicaid Providers January 2013 Presented by: HPES Training Department 1 ...
Terms matched: 2  -  Score: 911  -  15 Jun 2017  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Quarterly%20Training%20for%20Medicaid%20Providers%202013-0122.pdf
495. companionguide820_hipaa.pdf
... longer be available for download. This applies to testing and production. 2.2.3. ... Care Premium Payment HIPAA Version 5010 Nevada Medicaid Management Information System (MMIS) Department ...
Terms matched: 2  -  Score: 910  -  29 Jan 2019  -  URL: https://www.medicaid.nv.gov/Downloads/provider/companionguide820_hipaa.pdf
496. companionguide834_hipaa.pdf
... longer be available for download. This applies to testing and production. 2.2.3. ... Enrollment and Maintenance HIPAA Version 5010 Nevada Medicaid Management Information System (MMIS) Department ...
Terms matched: 2  -  Score: 910  -  29 Jan 2019  -  URL: https://www.medicaid.nv.gov/Downloads/provider/companionguide834_hipaa.pdf
497. NV_EnrollmentChecklist_PT82_QBA.pdf
... and understand the policies and how they apply to my scope of service. I ... any questions, please contact the Nevada Medicaid Provider Enrollment Unit at (877) ...
Terms matched: 2  -  Score: 909  -  26 Feb 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT82_QBA.pdf
498. web_announcement_3125_20230719.pdf
... of drugs to prevent the 2. Apply as a Nevada Medicaid PT 91 â ... July 19, 2023 Nevada Medicaid Web Announcement 3125 Attention Provider Types 28 ( ...
Terms matched: 2  -  Score: 909  -  19 Jul 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/web_announcement_3125_20230719.pdf
499. NV_EnrollmentChecklist_PT14_QBA.pdf
... and understand the policies and how they apply to my scope of service. I ... any questions, please contact the Nevada Medicaid Provider Enrollment Unit at (877) ...
Terms matched: 2  -  Score: 909  -  26 Feb 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT14_QBA.pdf
500. NV_BillingGuidelines_PT19.pdf
... Patient Liability (PL) does not apply during the first 20 days of a ... diem rate are identified in the Nevada Medicaid Services Manual (MSM), Chapter ...
Terms matched: 2  -  Score: 907  -  24 Aug 2023  -  URL: https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT19.pdf
Result Pages: << Previous 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Next >>

Search powered by Zoom Search Engine



Search took 0.074 seconds