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Through this easy-to-use internet portal, healthcare providers have access to useful information and tools regarding provider enrollment and revalidation, recipient eligibility, verification, prior authorization, billing instructions, pharmacy news and training opportunities.
All providers are required to submit their provider enrollment or re-enrollment applications electronically via the Online Provider Enrollment (OPE) tool at https://www.medicaid.nv.gov/hcp42/provider/Home/tabid/477/Default.aspx. Paper applications are not accepted.
Looking for a Doctor or Hospital near you? Through this secure and easy to use internet portal, healthcare providers can submit claims and inquire on the status of their claims, inquire on a patient’s eligibility, upload files containing 837 transactions, and search for another provider.
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
The Division of Health Care Financing and Policy (DHCFP, AKA Nevada Medicaid) is procuring a Credentialing Verification Organization (CVO) to manage all credentialing for Nevada Medicaid. A one stop-shop for credentialing for Nevada Medicaid programs.
Nevada Medicaid offers free or low-cost health insurance for working Nevadans, people who have lost their jobs, or have become too sick to work. We support low-income families, children, seniors, and people with disabilities.
NVMedicaid is a web-based application for Nevada Medicaid that allows users to manage their accounts and access resources online.
Nevada Department of Health and Human Services Division of Health Care Financing and Policy
Initiate a new provider enrollment application. Resume an existing enrollment application that has not been submitted. Check the current status of an enrollment application. © 2024 Gainwell Technologies Company. All rights reserved | Nevada Online Privacy Policy.
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