Thank you for your interest in the Nevada Medicaid and Nevada Check Up Program. This page contains all of the information and forms you will need to become a Nevada Medicaid provider. If you he any questions, please contact the Gainwell Technologies Contact Center at (877) 638-3472 from 8 a.m. to 5 p.m. Pacific Time Monday through Friday.
All providers are required to submit their provider enrollment or re-enrollment applications electronically. Paper applications are not accepted.
All enrollment documents require an electronic signature from the provider or owner. As part of the DocuSign signature process, the signer will be required to upload an image of their state issued license (front and back) and include a liveness video for validation (excluding associated providers). Please refer to Web Announcement 3632 for details.
To begin an initial enrollment, re-enrollment, or Change of Ownership through Provider Flex
CLICK HERE
If you need to initiate a Revalidation or a Change/Update through the Provider Web Portal (PWP)
CLICK HERE
Changes to any information presented on your enrollment documents must be reported to Nevada Medicaid within 30 business days
Table of ContentsEnrollment Information
User Guides
Revalidation Report
Training Materials
Hospital Presumptive Eligibility Documents
Pregnancy Presumptive Eligibility Documents
Provider License Updates and Voluntary Terminations Only
News and Updates
Enrollment InformationFor Archives, Click Here
Enrollment Information Booklet Enrollment Checklists Advance Directives Compliance Self-Evaluation & Certification (NMH-3827): This form must be completed and submitted to Nevada Medicaid if it is listed on the Provider Enrollment checklist for your Provider Type. Civil Rights Compliance Self-Evaluation & Certification (NMH-3828): This form must be completed and submitted to Nevada Medicaid if it is listed on the Provider Enrollment checklist for your Provider Type. Consent for Electronic Delivery of 1099: This document is provided for reference purposes only. Providers are not required to upload this as part of the application process. As part of the provider enrollment application, providers will be asked to review and provide consent for receiving their 1099 electronically. User GuidesGetting Started
Group Application
Ownership and Disclosure Addendum
Individual Application
Revalidation and Updates
Revalidation Report Provider Revalidation Report: The Nevada Medicaid Provider Revalidation Report lists each provider and the date their next revalidation is due. To oid contract termination, your revalidation application must be processed and approved prior to the revalidation due date. Providers can start their revalidation process up to a year in advance. Revalidations submitted prior to one year in advance will be returned. Training Materials Title Description Information for Individuals Preparing to Enroll with Nevada Medicaid (Quick Reference Guide) Enrollment information specific to individuals enrolling with Nevada Medicaid. Includes required miscellaneous attachments, important links, and more. Information for Groups Preparing to Enroll with Nevada Medicaid (Quick Reference Guide) Enrollment information specific to groups enrolling with Nevada Medicaid. Includes required miscellaneous attachments, important links, and more. Urgent/Emergency Provider Enrollment Quick Reference Guide Enrollment information specific to urgent/emergency providers. Includes required miscellaneous attachments, important links, and more. Training OpportunitiesIf you would like to register for training opportunities, click on the Provider Training Portal button below to access the Absorb Learning Management System (LMS) and enroll in one of the sessions. For information on registering, logging in, and nigating the Absorb LMS please click the Tip Sheet button below.
Provider Training Portal: Absorb LMS
Tip Sheet: How-To Use the Absorb LMS
YouTube Playlist for Provider Flex, Enrollment Powered by Gainwell Instructional Videos: This playlist houses all instructional videos related to the Provider Flex Enrollment tool. Provider Flex will be used for most enrollment related tasks. It is not the same as the Provider Web Portal (PWP).
Hospital Presumptive Eligibility Documents Web Announcement 3306: Hospital Presumptive Eligibility Annual Training Calendar Dates and Sign-up Guidelines for 2024 Web Announcement 1008: Attention ALL Hospital Presumptive Eligibility Providers: Guidance Policy Available Web Announcement 861 with Training Schedule: Implementation of Hospital Presumptive Eligibility Option for Acute Care Hospitals (Provider Types 11 and 75) Nevada Medicaid Hospital Presumptive Eligibility Provider Addendum: Qualified hospitals must complete and submit the Nevada Medicaid Hospital Presumptive Eligibility Provider Addendum. Hospital Presumptive Eligibility Training Sign-Up Sheet: Complete this form listing the hospital employees that will be attending the mandatory training for Presumptive Eligibility. You will be notified by the DWSS in regards to the training dates and times. Keep in mind that each employee making PE determinations MUST be trained by DWSS and complete a competency examination prior to making ANY determinations. Pregnancy Presumptive Eligibility Documents Pregnancy Presumptive Eligibility Participation Guidelines and Billing Instructions: Pregnancy Presumptive Eligibility Participation Guidelines and Billing Instructions. Pregnancy Presumptive Eligibility Provider Addendum: Qualified providers must complete and submit the Nevada Medicaid Presumptive Eligibility Provider Addendum. Pregnancy Presumptive Eligibility Training Sign-Up Sheet: Complete this form listing the employees that will be attending the mandatory training for Pregnancy Presumptive Eligibility. You will be notified by the DWSS in regards to the training dates and times. Keep in mind that each employee making PE determinations MUST be trained by DWSS and complete a competency examination prior to making ANY determinations. Provider License Updates and Voluntary Terminations Only Please submit provider license updates via the secure Provider Web Portal or email to Nevada Medicaid at nv.providerapps@gainwelltechnologies.com for processing. Please email voluntary termination forms (FA-34) to Nevada Medicaid at nv.providerapps@gainwelltechnologies.com for processing. News and Updates Date Title Details August 25, 2025 WA 3702 Attention All Providers: Multi-Factor Authentication (MFA) is Now Required to Access the Provider Flex Enrollment Tool August 8, 2025 WA 3690 Attention All Providers, Delegates and Staff: Upcoming Provider Flex Enrollment Overview Training Sessions July 14, 2025 WA 3672 Attention All Providers, Delegates and Staff: Upcoming Provider Flex Enrollment Overview Training Sessions July 08, 2025 WA 3669 Attention All Providers: Provider Flex New Functionality July 08, 2025 WA 3667 Attention All Providers: The New Provider Enrollment Solution, Provider Flex, is Now Live for All Providers! June 03, 2025 WA 3647 Attention All Providers, Delegates and Staff: Upcoming Training Sessions on Provider Flex! Powered by Gainwell Technologies Provider Training Team May 12, 2025 WA 3632 Attention All Providers: DocuSign ID Verification April 30, 2025 WA 3625 Reminder to All Enrolled Providers Regarding Provider Flex April 29, 2025 WA 3623 Attention All Providers, Delegates and Staff: Upcoming Provider Flex Overview Training Session Update April 24, 2025 WA 3619 Attention All Providers: Provider Flex – DocuSign Email Guidelines April 07, 2025 WA 3602 Attention All Providers: Provider Flex New Feature – Docusign March 31, 2025 WA 3595 Attention All Providers: Blackout Periods for the Phased Implementation of Provider Flex March 31, 2025 WA 3594 Attention All Providers: Complete Existing Provider Enrollment Applications Prior to Provider Flex Implementation March 14, 2025 WA 3579 Attention All Providers, Delegates and Staff: Upcoming Training Sessions for Provider Flex, Gainwell Powered Provider Enrollment - Registration Now Open March 03, 2025 WA 3570 Attention All Providers: Provider Flex New Feature – Reaccessing Data February 26, 2025 WA 3566 Attention All Providers: Provider Flex New Feature – Integrated Checklists February 12, 2025 WA 3553 Attention All Providers: Provider Flex New Feature – Attachment Process January 29, 2025 WA 3542 Attention All Providers: Provider Flex New Feature – Dashboard November 14, 2024 WA 3482 Attention All Providers: New Provider Enrollment Tool Phased Implementation (Updated January 28, 2025) October 09, 2024 WA 3457 Attention All Providers: A New Provider Enrollment Solution is Coming Soon!