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.