Provider Notifications
2025
- Project Echo Nevada & Nevada Center for Excellence in Disabilities Presents: School Based Mental Health Echo Series (PDF)
- Project Echo Nevada, Northern Nevada Hopes and the Nevada State Opioid Response Presents: Stimulant Use Disorder Echo (PDF)
- Project Echo Nevada Presents: Gender Affirming Care Echo Series (PDF)
- Project Echo Nevada Presents: Diabetes in Primary Care Echo (PDF)
- Healthcare Experience Symposium (PDF)
- Weight Management Potpourri Echo presented by Project Echo Nevada (PDF)
- SilverSummit Healthplan Cultural Humility Training Series (PDF)
- 6 Degrees Health – New Clean Claim Vendor Effective 6/2/25 (All LOBs) (PDF)
2024
- Project Echo Nevada Presents Diabetes in Primary Care Echo (PDF)
- Home Health Preferred Specialist for Northern Nevada 11.8.24 (PDF)
- Action Required from Providers: Update your Demographic Information 10.12.24 (PDF)
- Ambulatory Surgery Center (ASC) Optimization Policy: Implementation January 15, 2025 (PDF)
- Policy Implementation December 01, 2024Required from Behavioral Health Providers: Patient Age Bands 8.19.24 (PDF)
- National Coverage Determination (NCD) Non-Covered Lab Diagnosis 8.7.24 (PDF)
- Pregnancy Spacing and IUD resource 7.20.24 (PDF)
- Long-Acting Reversible Contraceptives (LARC) resource 7.20.24 (PDF)
- Cross-coder Outpatient Facility CTA Claims 7.2.24 (PDF)
- New Process: Internal Review of Inpatient Claims for DRG Validation 6.27.24 (PDF)
- Upcoming Forum: The SilverSummit Learning Lab (PDF)
- Project Echo Nevada presents SBIRT for Health Professionals 6.17.24 (PDF)
- Prior Authorization updates effective 7.1.24 for New American Medical Association Current Procedural Terminology (CPT) codes 5.29.24 (PDF)
- SilverSummit Healthplan transitions to Availity Essentials 5.23.24 (PDF)
- Project Echo Nevada presents SBIRT for Health Professionals 5.20.24 (PDF)
- Infectious Disease Lab Screening and Testing 4.24.24 (PDF)
- On Demand Clinical Documentation Improvement (CDI) Webinar now available 4.21.24 (PDF)
- Project Echo Nevada presents Gender Affirming Care Echo 4.1.24 (PDF)
- Project Guardian Patient Remote Monitoring 3.28.24 (PDF)
- Provider Alert: HHS CMS Provider Briefing on Response to Cyberattack on Change Healthcare 3.18.24 (PDF)
- Availity to host Live Training Webinars for Providers 3.8.24 (PDF)
- Payment Policy: Genetic and Molecular Testing Services 3.5.24 (PDF)
- Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to SilverSummit Healthplan
- SilverSummit Partnership with Turning Point on Cardiac Surgical Quality and Safety Management Program 2.21.24 (PDF)
- Payment Integrity Solutions Update: Critical Care Coding, Tongue-Tie, and Frenulum Procedures, Adjacent Tissue Transfer 2.21.24 (PDF)
- Payment Integrity Solutions Update: NCCI Modifier Override 2.21.24 (PDF)
- Maternal and Infant Health Webinar Series: Help Fight the Syphilis Epidemic 2.14.24 (PDF)
- Maternal and Infant RSV Vaccination 1.31.24 (PDF)
- Payment Integrity Solutions Update: Professional Claims for Select Surgical Procedures and Facility NCCI Modifier Override 1.11.24 (PDF)
- 2024 Webinars: Clinical Documentation Improvement (PDF)
- Important Pharmacy Changes for 2024 11.26.23 (PDF)
- Transition to Express Scripts FAQs 11.26.23 (PDF)
- New Provider Type 87 (Crisis Services) Available for Enrollment 9.6.24 (PDF)
- Revised Notification of Pregnancy (NOP) Form 8.20.24 (PDF)
- New Provider Type (PT) 93 (Substance Use Treatment (SUT)) Established to Replace PT 17 (Special Clinics) Specialties 171 (Methadone) and 215 (Substance Use Agency Model (SUAM)) and Create New Specialties under PT 93 6.12.24 (PDF)
- DHCFP March 2024 Schedule of Trainings 1.24.24 (PDF)
- Notification of Pregnancy (NOP) Reports now available 1.10.24 (PDF)
- Required Training: Model of Care 6.17.24 (PDF)
- 2024 CMS Two-Midnight Rule Provider FAQ 5.20.24 (PDF)
- Termination for Medicare only Comprehensive Cancer Centers of Nevada 3.28.24 (PDF)
- Find-a-Provider Directory Communications: Phase 1 (PDF)
- Medicare Part B StepTherapy (effective 1.1.24) Notification (PDF)
2023
- 2024 Webinars: Clinical Documentation Improvement (PDF)
- Important Pharmacy Changes 2024 11.26.23 (PDF)
- Transition to Express Scripts FAQs 11.26.23 (PDF)
- Fight Against the Flu: Encourage Vaccination for all your Patients
- Help Patients Get their Flu Vaccine
- SilverSummit Healthplan Collaboration with New Century Health FAQs 9.8.23 (PDF)
- 72 Hour Rule Enhancement 8.30.23 (PDF)
- Payment Integrity: ER Surgical services without Modifier 54 8.30.23 (PDF)
- Provider Claims Tool Notification 8.1.23 (PDF)
- Payspan acquired by Zelis 6.5.23 (PDF)
- Hemodialysis Modifier 4.27.23 (PDF)
- Optum Comprehensive Payment Integrity 4.27.23 (PDF)
- Training Opportunity for Providers: Suicide Prevention 4.17.23 (PDF)
- Portal Claims Redesign Notification (Medicaid and Medicare) 3.29.23 (PDF)
- Policy Revisions: Allergy Testing and Therapy (Medicaid and Marketplace) and Testing for Select Genitourinary Conditions (Medicaid, Marketplace and Medicare) 3.22.23 (PDF)
- Provider Portal Enhancements Flyer 3.13.23 (PDF)
- Provider Portal Enhancements Quick Reference Guide 3.13.23 (PDF)
- Claims Reconsideration Reminder and Guide 1.30.23 (PDF)
- Provider Portal Resources 1.26.23 (PDF)
- DHCFP Announcement: Urgent Update Regarding Changes to Electronic Visit Verification (EVV) Billing Process 10.11.23 (PDF)
- Claims Appeals for Medicaid Now Available on the Provider Portal 9.30.23 (PDF)
- Humira Biosimilar Alternatives 9.27.23 (PDF)
- SilverSummit Healthplan Collaboration with New Century Health 9.8.23 (PDF)
- Medicaid OB Incentive Program 8.16.23 (PDF)
- Important Information Regarding Babylon Telehealth 8.9.23 (PDF)
- Talk to Your Patients about Annual Medicaid Eligibility Renewal 3.14.23 (PDF)
- DHCFP Announcement - All Providers Invited to Take Provider Training Survey 3.6.23 (PDF)
- DHCFP Announcement - COVID-19 UNWIND: Providers Asked to Help Prepare Medicaid Members for End of Public Health Emergency (PDF)
- DHCFP March 2023 Trainings (PDF)
- Translation Services Feature Added to the Public Webpages of Nevada Medicaid Website (PDF)
- 2023 Provider Medicaid Manual now available 2.14.23 (PDF)
- Medicaid Services Manual Chapters Updated 1.27.23 (PDF)
- Guardian Remote Patient Monitoring 1.20.23 (PDF)
- DHCFP February 2023 Trainings (PDF)
- Medicaid Update: Providers to complete a survey to assist in developing a centralized credentialing process 1.18.23 (PDF)
- Project Accelerate (Breast Cancer Program) Notification to Providers 1.9.23 (PDF)
- Provider Reconsideration Notification 1.3.23 (PDF)
- Quick Reference Guide for Claims Reconsiderations and Appeals 1.3.23 (PDF)
- Find-a-Provider Directory Communications: Phase 1 (PDF)
- Medicare Part B StepTherapy (effective 1.1.24) Notification (PDF)
- Wellcare by Allwell Collaboraton with New Century Health 9.8.23 (PDF)
- Hospice Incorrect Billing Lookback 8.30.23 (PDF)
- Medicare PA List Changes effective 10.1.23 (PDF)
- Billing of Non-Hospice Related Services 8.1.23 (PDF)
- Medicare PA List Changes effective 07.01.23 (PDF)
- 2023 Preferred Pharmacy Network 03.13.23 (PDF)
- Medicare PA List Changes effective 010123 (PDF)
- Allwell Policies effective 010123 Provider Notification (PDF)
- Medicare Part B Drug List effective 010123 (PDF)