Nevada medicaid provider list. You can search by name, specialty, language and more.
Nevada medicaid provider list After you sign in, select Care Options and then select Find a Doctor Search for a provider as a guest. Use SecureEPLS to screen quickly and confidently. To qualify, the provider must meet all federal requirements, Nevada Medicaid state requirements and be a Medicaid provider in the state where services are rendered. to midnight Pacific Time Sunday, November 23, 2025, for scheduled maintenance: Secure Provider Web Portal (PWP), which includes: Recipient Eligibility Provider Claim Appeals Prior Authorization (PA) system Claims Submission Provider Flex Gabby®, which includes: Gainwell Technologies Find a Doctor or Provider Individual On Exchange Plans (HMO) Providers Individual Off Exchange Plans (HMO) Providers Employer Plans (HMO) Providers Employer Plans (POS) Providers General Information Enrollment requirements vary depending on provider type and enrollment type. Policy Nevada Medicaid and Nevada Check Up reimburse Physicians, Advanced Practice Registered Nurses (APRNs) and Physician’s Assistants (PAs) for covered services that are reasonable and medically necessary and within the provider’s scope of practice as defined by state law. For full information regarding Provider Medicaid Enrollment in Nevada, please visit the “ Nevada Department of Health and Human Services, Provider Enrollment ” site Providers (for ongoing requests): Complete and fax the Authorization Request for Personal Care Services Form (FA-24) to Nevada Medicaid's fiscal agent at (855) 709-6846. 1. gov, to support Nevada Medicaid and Nevada Check Up billing. Jun 16, 2025 · Providers in the process of becoming a Nevada Medicaid provider may supply this information in the appropriate fields of the electronic enrollment application. The list of providers must match the application. After reviewing specific enrollment requirements in MSM Chapter 100, review this booklet and visit the Provider Enrollment page on the Nevada Medicaid provider website to identify if there is a specific Provider Enrollment Checklist for each provider type. Paper applications are not accepted. If your provider type is not in the list below, please contact the Provider Enrollment Unit at (877) 638-3472 for requirements. The Dental Center of Nevada 601 S Rancho Dr Ste B15 Las Vegas, NV 89106 (702) 385-1166 P, EB, IB, RR, AE, ER www. Search for a provider as a guest. To see which documents must be submitted with your Provider Enrollment Packet, click the name of your provider type (s) in the list below. O. drphiliplasvegas. Get to know our policies and procedures, eligibility requirements, billing process and managed care program procedures in a way that makes sense to you. Search for a HMO or POS provider online. local time, to request a hard copy to be mailed to you. Those providers who were excluded by the Office of Inspector General (OIG) and wish to participate again in the Medicaid Program, must provide documentation from the OIG that they have been reinstated. For revalidation and Find a doctor that’s right for you. Nevada Exclusion List Overview and guidance for this database. Monday through Friday. See Patient Ratings & Read Reviews of other all cities in Nevada (NV) doctors. Enrollment for out-of Nevada Medicaid Home Page/uploadedFiles/dhcfp. ” Enter the appropriate 2-digit provider type number from the left column of Table E-2 found in the Provider Enrollment Information Booklet. To appeal a decision, mail a written request to: Health Plan of Nevada, Member Services P. Use our online provider directory to find providers nearby. Hospital Rates and Revenue Codes * Maximum Reimbursement Rates for Organ Transplant Procedures and Procurement Provider Type 10 Outpatient Surgery, Hospital Based - Provider Find Medicare Providers Search for doctors, hospitals, and specialists near you. STEP 1: Visit Your SilverSummit Healthplan Home Page Click on Find a Provider from your SilverSummit Healthplan home page. If you are enrolling to be reimbursed for urgent/emergent services provided to a Nevada Medicaid recipient, please complete an Urgent/Emergent enrollment. Medicaid Exclusion Exclusion Screening, LLC conducts monthly checks of our clients’ employees, contractors, and vendors against the OIG-LEIE, GSA-SAM, and all available State Exclusion Lists Apr 13, 2020 · Introduction DXC Technology, the fiscal agent for Nevada Medicaid, maintains this manual and the website, https://www. Use our Molina online provider search tool to find providers and pharmacies. Be Search for a Medicaid or Nevada Check Up doctor or provider online. Nevada Medicaid is a joint federal and state health care program that pays for medical costs for people with limited income and resources. The manual is updated regularly with program changes. You may file an appeal if coverage is denied. These providers have been excluded/sanctioned from the Nevada Medicaid Program. Oct 29, 2025 · For a list of Medi-Medi Plans by county, and to find out how to enroll, visit the Medi-Medi Plan directory webpage. Community Health Worker Services The following is a list of required enrollment documents for this provider type. Full Nevada Medicaid enrollment is not required for out-of-state, out-of-catchment providers that render urgent/emergent services to recipients outside of Nevada borders. As a result, we do not provide contact information. Soon, the Division of Welfare and Supportive Services (DWSS) will resume Medicaid and CHIP eligibility reviews. to midnight Pacific Time Sunday, November 23, 2025, for scheduled maintenance: Secure Provider Web Portal (PWP), which includes: Recipient Eligibility Provider Claim Appeals Prior Authorization (PA) system Claims Submission Provider Flex Gabby®, which includes: Gainwell Technologies Search for Nevada providers who accept Medicaid at Anthem. Preparing all required enrollment Provider Portal Nevada Medicaid Provider Enrollment DHCFP Provider Enrollment Provider Training Policy and Regulations Medicaid Operations Manual Medicaid Services Manual Nevada State Plan Nevada Statutes State Plan Amendments Report Fraud Report Provider Fraud Report Recipient Fraud Surveillance and Utilization Review (SUR) Unit Meetings and Nevada Medicaid programs are run by the State of Nevada Health Authority. SilverSummit Healthplan gets you access to a large network of doctors and specialists in Nevada. Providers who are actively enrolled with Nevada Medicaid do not need to re-enroll or take any action until they are due to revalidate or unless there is a change to provider status. A full featured directory of Mental Health Providers in the State of Nevada. This checklist must be completed and submitted with the attachments listed below. Both may occur simultaneously when an active contract with Nevada Medicaid exists, or an enrollment application is submitted to Nevada Medicaid, and a provider has requested to contract You can find the following information about Molina Healthcare doctors and other health care providers in your Provider Directory: • Names • Addresses • Telephone numbers • Languages spoken • Availability of service locations • Accessibility of provider office locations including parking, restrooms, exam rooms, etc. Hereafter, Gainwell Technologies is referred to as Nevada Medicaid in this document and in all communications with the Nevada Medicaid and Nevada Check Up provider community. com English, Spanish, Tagalog vAnnual Compliance Training: Yes Find health insurance plans, access benefits, and manage your account with Anthem. A copy of each document listed below must be included with your provider enrollment or revalidation. Provider Enrollment Determine the model of PCS to be provided prior to completing the enrollment process through Nevada Medicaid's fiscal agent: Online Provider Enrollment Portal The Nevada Medicaid and Nevada Check Up Online Provider Enrollment (OPE) Portal allows providers, or their delegates, to complete enrollment, re-enrollment, revalidation and provider changes using an online application. LIBERTY Dental Plan of Nevada is the Dental Benefits Administrator (DBA). Dental services provided shall maintain a high standard of quality and shall be provided within the coverage and limitation guidelines outlined in this Chapter. SilverSummit offers quality healthcare for Nevada Medicaid and Nevada Check Up members. FQHCs are under an encounter reimbursement methodology for approved services provided by a Qualified Health Professionals. Find local doctors, hospitals, and other medical facilities. If anything changes in your household, such as address, income, family members, please contact your local DSS office to report these changes. The information contained in these schedules is made available to provide information and is not a guarantee by the State or the Department or its employees as to the present accuracy of the information contained herein. Currently enrolled providers may also view, update, and/or supply this information via the Provider Web Portal by completing a Demographic Update. Preparing all required enrollment Nov 10, 2024 · For this reason, states maintain a list of individuals and entities who are terminated, suspended, sanctioned, or otherwise excluded from the State Medicaid program under state law. Interested in joining our provider network? We look forward to working with you to FQHCs are under an encounter reimbursement methodology for approved services provided by a Qualified Health Professionals. After you sign in, select Care Options and then select Find a Doctor. Search for a Medicaid or Nevada Check Up doctor or provider online. to 6 p. Reinstatement of excluded entities and individuals is not automatic. Important plan coverage and reimbursement policies are available in this Nevada FFS Medicaid Provider Manual. Nevada Healthcare Provider Exclusion List Federal Exclusion List Healthcare practices and facilities are required to check both the federal and state exclusion lists when hiring or contracting a new provider and on a monthly basis for all employees and contractors. Credentialing differs from Enrollment. to 5:00 p. Learn more about Nevada Medicaid insurance plans and options available through SilverSummit Healthplan. and SilverSummit Healthplan. to midnight Pacific Time Sunday, November 23, 2025, for scheduled maintenance: Secure Provider Web Portal (PWP), which includes: Recipient Eligibility Provider Claim Appeals Prior Authorization (PA) system Claims Submission Provider Flex Gabby®, which includes: Gainwell Technologies The Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) are Anthem Blue Cross and Blue Shield Healthcare Solutions, CareSource, Health Plan of Nevada, Molina Healthcare of Nevada, Inc. The Division of Social Services (DSS) decides if you qualify for benefits. If you have any questions, please contact the Nevada Medicaid Provider Enrollment Unit at (877) 638-3472 from 8:00 a. 11/2025 Page 1 of 502 Nevada Medicaid Provider Revalidation Report NPI Revalidation Due Date Name Provider Type Provider Type Description Provider Specialty Phone Number Address City State Zip Code Nevada Medicaid and Nevada Check Up News (Third 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 Nevada Medicaid and Nevada Check Up News (Third 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 Use our online provider directory to find providers nearby. This entity/agency/group meets all provider qualifications outlined in MSM Chapter 100 and 3500. About 126,000 individuals will continue to receive Medicaid coverage through the State’s Fee-For-Service (FFS) Medicaid program. Providers may request a MAC price review by filling out the MAC Price Research Request Form and submitting it to the vendor via fax or email. If Provider Category is selected, you may search using address and provider criteria. This includes Medicaid-enrolled children, parents, and adults without children. Nevada Medicaid Programs, Grants and Services For program flyers and fact sheets, see the Resources page. SilverSummit Healthplan Nevada Health Insurance exists to improve the health of its beneficiaries through focused, compassionate & coordinated care with the right health plan in Nevada. We cannot verify the business practice or the background of providers listed on this page. Services not approved as an FQHC encounter but are an approved Nevada Medicaid State Plan service are considered ancillary and will be reimbursed accordingly under their provider type. Address changes can be reported here. Health Plan of Nevada Medicaid members, make sure your address is up to date with the Division of Social Services. Box 15645 Las Vegas, NV 89114-5645 Health Plan of Nevada providers must file an appeal within 180 days. Providers can revalidate up to a year in advance of their revalidation due date. Your feedback will be used to help improve Google Translate Jun 7, 2022 · This document is intended to be a helpful resource to OptumRx Pharmacies providing services to Nevada Medicaid and Nevada Check Up recipients. gov) or call the Division of Social Services at 702-486-1646. Feb 5, 2025 · Introduction Gainwell Technologies, the fiscal agent for Nevada Medicaid, maintains this manual and the website, https://www. The Prime website contains a link to this document. Must have Private Insurance as primary* 8/31/2011 Welcome to the Nevada Medicaid Durable Medical Equipment, Prosthetics, Orthotics and Disposable Medical Supplies (DMEPOS) webpage. some areas indicate “According to CMS/Medicaid”). We’re adding new providers, clinics, and specialists every day—so you can find care close to home. For revalidation and You can find the following information about Molina Healthcare doctors and other health care providers in your Provider Directory: • Names • Addresses • Telephone numbers • Languages spoken • Availability of service locations • Accessibility of provider office locations including parking, restrooms, exam rooms, etc. FAQ Q: What is the Nevada Medicaid Provider Group Enrollment Information? Credentialing establishes that healthcare providers have the qualifications to render services based on licensure, certification, work history and other relevant elements. Find a Health Plan of Nevada network provider, pharmacy or find dental providers on the Diversified Dental Network website Find a Provider. The health plan trusted by thousands of Nevada families is growing—and we’re proud to bring more providers, more benefits, and more ways to care for your family from Las Vegas to Elko and everywhere in between. Fremont Emergency Services Mandavia Ltd 9300 W Sunset Rd Las Vegas 89148 (702) 880-2800n M-Su, 12am-11:30pm Female Website URL: Better Health Nevada Practice #: The Division estimates that the populations eligible for this expansion include about 75,000 people living in rural Nevada counties. Practices can be sanctioned if they bill Medicare, Medicaid, or Tricare for services performed by an excluded provider. medicaid. Providers may revalidate up to one year Refer an optometrist. Southern Nevada (Clark and Nye counties in Nevada and Mohave County in Nevada Medicaid Home PageAboutCenters for Medicare and Medicaid ServicesApply for MedicaidNevada Check UpLeadershipHIPAA RequestsManualsMeetings, Workshops, Public NoticesCaseload DataMedicaid Services ManualRecords Request Nevada Medicaid Home PageAboutCenters for Medicare and Medicaid ServicesApply for MedicaidNevada Check UpLeadershipHIPAA RequestsManualsMeetings, Workshops, Public NoticesCaseload DataMedicaid Services ManualRecords Request NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p. to midnight Pacific Time Sunday, November 23, 2025, for scheduled maintenance: Secure Provider Web Portal (PWP), which includes: Recipient Eligibility Provider Claim Appeals Prior Authorization (PA) system Claims Submission Provider Flex Gabby®, which includes: Gainwell Technologies Find, Compare, and Connect With Doctors and health professionals in all cities in Nevada (NV). Nov 4, 2025 · It’s important to choose the right providers and pharmacies when you or a loved one needs care. The most current version of the manual can be found by following the links on the Nevada Medicaid website Contact Nevada Home Care Services For the convenience of the public, care providers are listed on this page to show services available in a particular area. The State of Nevada APCD is a large database that includes medical claims, pharmacy claims, dental claims, eligibility, and provider files collected from private and public Adult Provider Directory Child Provider Directory To report information you think needs to be updated on our provider directories, please contact our Member Services Department at (866) 609-0483; TTY (877) 855-8039 or email directoryupdate@libertydentalplan. Use the portal at UpdateMyAddress (nv. Each individual provider listed below must be enrolled with Nevada Medicaid or have already submitted their completed enrollment application. Effective 1/1/2018, LIBERTY Dental Plan of Nevada is pleased to partner with the State of Nevada in offering Medicaid dental benefits in Clark and Washoe Counties. Provider categories are logical groups of providers such as Physicians, Audiologists, Chiropractors, Dentists and other individual providers. Already a Health Plan of Nevada member? Sign in to the online member center to find doctors, hospitals and other medical providers that accept your health plan. All inquiries must be accompanied by actual invoices from the provider’s wholesaler for consideration. Aug 19, 2025 · Explore our complete directory of Nevada Medicaid Provider Sanctions and find specialists near you who accept Medicare. e. Find a doctor or facility Find a pharmacy (Medicaid | NV Check Up) Provider and pharmacy directories You can Nevada Medicaid and Nevada Check Up News (Third 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 This field will become required. Oct 16, 2024 · The Nevada Department of Health and Human services maintains a list of providers whose Medicaid provider agreement has been terminated. Members of the Nevada Care Planning Council, listed on this site, have agreed to abide by a code Apr 22, 2024 · The focus of this article is to help providers identify which States have a separate Medicaid exclusion list, how they are different from the federal exclusion lists, and the effects on screening. ) except for those listed in the #007094 Nevada Sun Dental 2281 N. Important Changes Coming to Nevada Medicaid If you or a family member currently have health insurance through Medicaid or the Children’s Health Insurance Program (CHIP), you may need to take steps to find out if you can continue your coverage. To see available providers, select a plan type. HMO Plan POS Plan PPO Enrollment Information Booklet The Provider Enrollment Information Booklet is an overview of the Medicaid Program and includes information such as: Welcome to Nevada Medicaid, Required Documents, Information for Trading Partners and Out of State Providers, Catchment Area Information, how to Report Business Information as well as a full list of all Provider Types and associated Specialty Codes. That's why we’ve redesigned the provider site to make it more useful for you and easier to use. Visit Health Plan of Nevada online for providers. I acknowledge that, as a Nevada Medicaid contracted provider, I am responsible for complying with the MSM, with any updates to this Policy as it may occur from time to time and with all applicable state and federal laws. Provider Enrollment To enroll as a Nevada Medicaid ISO provider for self directed PCS and/or self directed skilled services: Complete the enrollment process through Nevada Medicaid’s fiscal agent. pdf The Medicaid Services Manual is a compilation of regulations adopted under NRS 422. Whether you live in busy centers like Clark or Washoe Counties or in rural towns, we're here for your health. Visit us online and enroll today. Providers listed are not allowed to receive reimbursement for Medicaid services in any capacity. May 31, 2023 · To bill for services rendered or to order, prescribe, and refer services to Nevada Medicaid recipients, you must enroll as a Nevada Medicaid provider and revalidate enrollment timely. Changes to the MSM are approved at public hearings. Jun 1, 2024 · The Nevada Medicaid Dental Services Program is designed to provide dental care under the supervision of a licensed provider. Nevada Medicaid Sanctions/Office of Inspector General Exclusions List Find healthcare providers, hospitals, and pharmacies in your network with Humana's care finder tool. All Medicaid policies and requirements, (such as prior authorization, etc. Since then, Nevada Medicaid has implemented a new provider type (PT) 91 – Pharmacist and established Medicaid policy surrounding pharmacist-provided services. If you have any questions, call 1-800-745-7065 or sign in to the online provider center. Nov 4, 2025 · Find a Molina Healthcare (Molina) provider or pharmacy It’s important to choose the right providers and pharmacies when you or a loved one needs care. Hereafter, DXC Technology is referred to as Nevada Medicaid in this document and in all communications with the Nevada Medicaid and Nevada Check Up provider community. Contact Member Services at 1-800-962-8074, TTY 711, Monday through Friday, 8 a. 1 Nevada Medicaid Pharmacy Program This manual provides claims submission guidelines for the Nevada FFS Medicaid and Nevada Check Up pharmacy program administered by Prime. Search for Nevada providers who accept Medicaid at Anthem. Nevada Medicaid and Nevada Check Up News (Third 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 Pending: Hometown Health, Health Plan of Nevada (Commercial and MCO), Anthem BCBS Medicaid, Silver Summit, Sierra Health and Life, Molina, Aetna, Cigna/Evernorth, Prominence And MHN Accepts: Culinary Health Fund, Health Plan of Nevada, Molina, Sierra Health & Life, Tricare, Blue Cross Blue Shield, Teachers Health Trust *Provider only accepts Medicaid clients if Medicaid is a secondary insurance. The document works in concert with Billing Guidelines, which are procedural in nature and can be found on the Nevada Medicaid’s fiscal All providers are required to submit their provider enrollment or re-enrollment applications electronically via the Provider Flex tool. I. NEW COMMUNITY HEALTH WORKER SERVICES During the 81st Legislative session (2021), Assembly Bill 191 During and Senate the Bill 81st 420 Legislative added community session health (2021), worker Assembly (CHW) Bill 191 and to the Senate list of Bill approved 420 added Nevada community Medicaid health State worker Plan (CHW) to providers. Anthem Blue Cross and Blue Shield Healthcare Solutions Provider Website: https Nevada Medicaid and Nevada Check Up Programs 2025 Provider Directory Version Seven Search for a Medicaid or Nevada Check Up doctor or provider online. the list of approved Nevada Medicaid State Plan providers Nevada Medicaid has defined approximately 60 different medical service types, also referred to as “provider types. Enrollment for out-of Find healthcare providers, hospitals, and pharmacies in your network with Humana's care finder tool. Search our online directory. Nevada Medicaid Access Nevada – Apply for Medicaid or check for eligibility! Nevada Medicaid Provider Directory – Find a Medicaid provider near you Transportation Services (NEMT) – Learn about how to schedule non-emergency medical transportation for your family. Health Plan of Nevada contracts with a network of providers and hospitals. I acknowledge that, as a Nevada Medicaid-contracted provider, I am responsible for complying with the MSM, and with any updates that may occur to these policies as applicable by state and federal laws. The Provider Revalidation Application is to be used by active providers who have received a revalidation letter. It sets guidelines and limitations regarding how the Division operates and what services are covered. com. We are guided by the values of public service, fiscal discipline, and accountable leadership. The Nevada Medicaid and Nevada Check Up Health Care Online Provider Enrollment Portal allows providers, or their delegates, to revalidate enrollment, and update their previously submitted provider enrollment information. nv. NOTIFICATION: The following Nevada Medicaid Provider Web Portal services will be unavailable from 8 p. The portal is accessed from the Provider Enrollment webpage by clicking on the “Online Provider Enrollment” link. General Information Enrollment requirements vary depending on provider type and enrollment type. Enroll as a Provider Type 83 – Personal Care Services Intermediary Services Organization Accepts: Aetna, Anthem Blue Cross/Blue Shield, Cigna Behavioral Health, Culinary, HPN, Optum/United Behavioral Health, Sierra Health, Tricare, & United Health Care Jul 20, 2024 · Molina Healthcare of Nevada is a health plan that puts our members in the center of everything we do. 2368 and 422. . If your business/practice/facility is in one of the following “catchment areas,” submit Nevada Medicaid enrollment documents as described for in-state providers (see “Required Documents”). Nevada Health Centers Inc 175 E Carson St Ste A Virginia City 89440 (775) 445-3510c M, 8:30am-4pm Tu-F, 8am-5pm Male Ethnicity: Asian Or Pacific Islander Website URL: Nevada Medicaid and Nevada Check Up News (Third 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 Provider Guide Good health takes a good plan. Patients save money when they stay in network. Green Valley Pkwy Henderson, NV 89014 (702) 898-0800 Persian, Spanish vAnnual Compliance Training: Yes Associated Providers List - Nevada Medicaid Provider Group Enrollment Information is a legal document that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. You can search by name, specialty, language and more. At Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem), we value you as a provider in our network. Once you click on each link below, scroll down the page for the contracts and attachments. Search for a Medicaid or Nevada Check Up doctor or provider online. Refer an optometrist. Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) Contact Information: The Nevada Medicaid and Nevada Check Up contracted Managed Care Organizations (MCOs) are Anthem Blue Cross and Blue Shield Healthcare Solutions, Health Plan of Nevada, Molina Healthcare of Nevada and SilverSummit Healthplan. m. States may also maintain their list as a central registry for state sanctions, including non-healthcare actions and exclusions or terminations. Nevada Medicaid Home PageAboutCenters for Medicare and Medicaid ServicesApply for MedicaidNevada Check UpLeadershipHIPAA RequestsManualsMeetings, Workshops, Public NoticesCaseload DataMedicaid Services ManualRecords Request Nevada Provider Enrollment – Frequently Asked Questions *Note: The information provided within this FAQ page is according to the state, unless otherwise indicated (i. A copy of this document is posted on the Nevada Medicaid website for ease of reference. gov/content/Home/features/15 language taglines (10-26-16) Updated. com Need a new dental office home? Click here to request an office transfer. The only required field when searching by criteria is the provider’s category. Refer a doctor or provider. There are no provisions for early or Associated Providers List for Nevada Medicaid Provider Group Enrollment: This completed Associated Providers List must be consistent with the information listed on the application, and must be uploaded with the original submission in order for your application to be considered complete. of Inspector GeneralList The Nevada's Health Authority's mission is to ensure Nevadans have access to affordable, reliable care by leveraging the state's buying power, streamlining programs and services and driving better quality and more innovation in the health care system. Conditions of Participation Inpatient Private Hospital (UPL) Medicaid Reinvestment Advisory Committee - Meeting Archive Conditions of Participation Inpatient Private Hospital Chapter 1300 DME Disposable Supplies and Supplements Chapter 1600 Intermediate Care for Individuals with Intellectual Disabilities You can find the following information about Molina Healthcare doctors and other health care providers in your Provider Directory: • Names • Addresses • Telephone numbers • Languages spoken • Availability of service locations • Accessibility of provider office locations including parking, restrooms, exam rooms, etc. Provider Revalidations Nevada Medicaid requires all providers to revalidate at least every 5 years, with the exception of those who provide Durable Medical Equipment, Prosthetics, Orthotics, and Disposable Medical Supplies (DMEPOS) who must revalidate every 3 years. Online Provider Enrollment Portal The Nevada Medicaid and Nevada Check Up Online Provider Enrollment (OPE) Portal allows providers, or their delegates, to complete enrollment, re-enrollment, revalidation and provider changes using an online application. On July 7, 2022, the Centers for Medicare, and Medicaid Services (CMS) approved Nevada Medicaid’s State Plan Amendment to include pharmacist as a new provider type. Thank you for participating with Molina Healthcare to provide high quality healthcare services to our members. Resources are here that help health care professionals do what they do best — care for our members. 2369. For more information on Medi-Cal Managed Care Plan models by county, visit the Managed Care County Map. Nevada Medicaid and Nevada Check Up News (Third 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 Feb 20, 2025 · Introduction Gainwell Technologies, the fiscal agent for Nevada Medicaid, maintains this manual and the website, https://www. The Wellcare By Allwell Provider Directory is a list of Primary Care Providers (PCPs), physicians, hospitals, drug stores, and other healthcare providers that are available to you. If you are viewing this guide from the “Welcome to Find a Provider” screen please skip to STEP 2. MEMBERS MEMBERSApply for Medicaid & Nevada Check UpFind a ProviderGet Help – District OfficesFair HearingsHealth PlansMedicaid Estate RecoveryNV Medicaid AppReview your BenefitsOpen Enrollment Public Notices Public NoticesMeetings / Public NoticesMeeting ArchivesPublic Hearings, Tribal Consultations, MCAC, DUR, & SSSB Meetings Schedules Resources Associated Providers List for Nevada Medicaid Provider Group Enrollment: This completed Associated Providers List must be consistent with the information listed on the application, and must be uploaded with the original submission in order for your application to be considered complete. This means you could lose coverage. iqhyvvwjplxklyggfsqfjoopjdgoedlabcgzgjkgyskkzgfkhadqejracshndxlaqpgxsgpyhrdum