Medicaid

How to Get Credentialed with Nevada Medicaid in Nevada

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Nevada-Specific Requirements

Nevada Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Nevada DHCFP (Division of Health Care Financing and Policy) Medicaid provider enrollment portal. (3) Submit application with NV state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Nevada operates managed care through 2 MCOs covering urban areas, with fee-for-service in rural areas. Behavioral health providers accepted include LCPC (Licensed Clinical Professional Counselor), LCSW, and LMFT with active Nevada licensure. Revalidation is required every 5 years.

Medicaid Information — Nevada

Agency: Nevada DHHS, DHCFP

Program: Nevada Medicaid

Portal: https://www.medicaid.nv.gov

Phone: 1-877-638-3472

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Nevada.

2

Prepare Your Application

Complete Nevada Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Nevada Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Nevada Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-877-638-3472

General Provider Inquiries

National

1-877-638-3472

Quick Links

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