Products & ProgramsMedicaidJanuary 1, 2024

Enrollment and revalidation requirements Medicaid participation

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. This is also true to bill for services rendered or to order, prescribe, and refer services to Nevada Medicaid recipients enrolled through a managed care organization (MCO), such as Anthem.

As per the instructions found in the Provider Enrollment Information Booklet and also restated below, all individual (servicing) providers and all group (billing) providers must enroll and revalidate enrollment timely.

Refer to attachment to view full details

Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NVBCBS-CD-046912-23

ATTACHMENTS: Enrollment and revalidation requirements Medicaid participation (pdf - 1.2mb)

PUBLICATIONS: January 2024 Provider Newsletter