Welcome Current and Future Nevada Medicaid Providers

• Credentialing is the process by which a provider is determined qualified to render services based on education, licensure, work history and other elements. Credentialing activities will be facilitated by Nevada Medicaid's contracted Credentialing Verification Organization (CVO), Verisys.
• Credentialing differs from enrollment which determines an applicant/provider meets the screening requirements for fee-for-service enrollment. Enrollment activities are facilitated by Nevada Medicaid's contracted fiscal agent, Gainwell Technologies.
  
  Both enrollment and credentialing are governed by the Federal Code of Regulations (CFR), Nevada Medicaid Services Manual (MSM), contracted Managed Care Entities (MCEs) policies, and the National Committee for Quality Assurance (NCQA) standards.
  
  All applicants and providers MUST have an active Contract with Nevada Medicaid or have an active application under review with Nevada Medicaid before initiating the credentialing process with any of the MCEs. If an application is denied by Nevada Medicaid, credentialing will be denied.

For project implementation, write to: