Nevada (NV DHCFP) Resources

Welcome to the Division of Health Care Financing and Policy (DHCFP) Electronic Visit Verification (EVV) System provided by Sandata.

• To access your EVV account, please go to this web address: https://evv.sandata.com/VM/Login

  To log in, use the credentials provided to you via email. The temporary password is only valid for 60 days. You are required to change this temporary password the first time you access the account.

• Detailed documentation for the use of Sandata EVV is available by clicking the User Manual module within the EVV application.

• You are currently on the Sandata Knowledge Base, which contains many support and education tools, including video.

• Keep in mind that the in-system and much of the Knowledge Base information is general to the Sandata EVV application.

• Visit https://dhcfp.nv.gov/EVV-PCA/ to view updated information on the DHCFP program.

• If you have specific questions regarding the program policies, contact DHCFP via email at nvevv@dhcfp.nv.gov.

• To open a support ticket, see Contact and Support.

Bring your questions to a Sandata trainer who can help you with Electronic Visit Verification (EVV). If you need information on how to avoid denials and to ensure you continue to receive claims payments in 2026, please attend any of the scheduled sessions for help.

Sign up here for an office session.

Office hours are held every other Tuesday (Beginning 12/9/2025) at 1:00 pm PT (4:00 pm ET), excluding holidays.

NVHA Office Hours Resources

Resources reviewed within our Office Hours sessions.

• NVHA EVV Homepage: https://dhcfp.nv.gov/EVV-PCA/

• NVHA Medicaid Web Announcements: https://www.medicaid.nv.gov/home

• NVEVV Inbox: NVEVV@nvha.nv.gov

• PCS Inbox: pcsprogram@nvha.nv.gov

• Home Health Inbox: ltss@nvha.nv.gov

• Waiver Inbox: hcbs@nvha.nv.gov

Sandata EVV Technical Support:

Phone: 833-545-0394

Email: NVCustomerCareEmail@sandata.com

Alternate EVV Technical Support:

Phone: 833-545-0395

Email: NVAltEVV@sandata.com

We have an important message regarding your claim submissions and changes that are coming.

Sandata, in partnership with Optum, has been providing a claims workflow that includes Optum issued EVV IDs and Connect Center Access for all NVHA providers. EVV IDs are used on claims submission whether you use the Sandata EVV State Sponsored billing solution or your own Alternate EVV and billing solution.

The Optum solution and associated IDs are being phased out and replaced with direct submission to your respective payers. This will happen in a phased approach, with some payers making a change sooner than others. It is important to reference the information below on when these changes will occur and what your billing configurations need to be.

Once claims have been submitted directly and not through Optum, they will no longer be visible through Optum and your Connect Center. However, prior claims will be available to view.

If you are using an Alternate EVV vendor (3rd Party Vendor) billing solution, you must work with your billing vendor to make these adjustments ahead of the deadlines listed below.

As always, you should remain focused on ensuring that all visits are in a Verified Status and follow all NVHA policies and guidelines for EVV visit data before submitting claims.

Changes will begin on April 1st, 2026, with the following MCO. This means that as of this date, claims will no longer flow through Optum but instead flow directly to your respective payers. These claims will not be viewable through your Connect Center. If they are submitted with the Optum EVV IDs, they will be rejected:

• Silver Summit

The following MCOs will begin Claims Validation soon and you will be notified in advance:

• HPN UHC

• Molina

If you are a provider using an alternate EVV vendor, you need to ensure your vendor receives the following Payer IDs and sets up your new billing workflows. The key dates are listed in the column labeled Begin Date for Updated Workflow and the new Payer IDs are listed under New Claim Payer ID:

Payer Name	EVV Payer (Visit Payer ID)	Current Claim Payer ID	New Claim Payer ID	Begin Date to Use New Claim Payer ID	Hard Stop on Optum Claims
Gainwell (State of Nevada)	NVFFS	NVFFS	NVMED	4/1/2026	6/30/2026
Anthem	NVANT	NVANT	000265	4/1/2026	6/30/2026
HPN UHC	NVHPN	NVHPN	76342	5/1/2026	6/30/2026
Molina	NVMOL	NVMOL	MLNNV	5/1/2026	6/30/2026
Silver Summit	NVSIL	NVSIL	68069	4/1/2026	4/1/2026

Please note that the EVV Payer (Visit Payer ID) column above is not changing.

If you have any additional questions or concerns, please reach out to Customer Support.

Click the title below to open the PDF in your selected language.

• English: These guides are step-by-step prompts of calling in and calling out for a visit using a telephone.

  • NV DHCFP Group Visit Call Reference Guide

  • NV DHCFP Group Visit Call Reference Guide

• Español: Estas guías son indicaciones paso a paso para llamar y pedir una visita por teléfono.

  • Guía de referencia de visitas del grupo NV DHCFP

  • Guía de referencia de llamadas de TVV NV DHCFP

Click the link below to open the PDF in your selected language.

• English: The Task List includes all tasks currently used by the state's program with their matching telephone codes.
• Español: Las listas de tareas incluyen todas las tareas utilizadas actualmente por el programa del estado con sus códigos telefónicos coincidentes.

Click the link below to open the PDF in your selected language.

• English: The Service List includes all services currently used by the state's program with their matching telephone codes.

• Español: Las lista de servicios incluyen todos los servicios que actualmente utiliza el programa del estado con sus códigos telefónicos coincidentes.

If your agency provides services across different provider types, you may have multiple EVV account numbers.

Employee setup is required to enable a caregiver to access multiple agencies in the Sandata Mobile Connect app. Once set up, Caregivers will be able to select the correct account when clocking in and out across multiple Sandata EVV accounts.

Before Caregivers can do this, two steps are required:

1. If a Caregiver needs access to multiple accounts, you must create a new employee record in each of those accounts.

2. Ensure the Caregiver’s employee record uses the same email address across all accounts and confirm that Mobile Device Access is enabled in each account.

Once complete, the Caregiver will be able to log in to the Sandata Mobile Connect app and select the correct account when navigating between multiple agencies.

The Nevada DHCFP EVV program has updated the Units of Measure rule. A unit is now calculated at 8 minutes, with each additional unit measured in 15-minute intervals. See the chart below for a full breakdown.

Units	Number of Minutes
0	> 7:59
1	8:00 - 22:59
2	23:00 - 37:59
3	38:00 - 52:59
4	53:00 - 67:59
5	68:00 - 82:59
6	83:00 - 97:59
7	98:00 - 112:59
8	113:00 - 127:59
Increase 1	Each additional 15 mins

For general questions about the DHCFP program, please email NVEVV@dhcfp.nv.gov.

The table below is a guide on how to clear out issues that you may see under Not Okay to Bill and how to resolve them.

Remember before you begin your review process to perform the Update in the create invoices screen.

Not Okay To Bill Reason	Agency Action to Correct
Authorization is Missing	Review the Client's profile to ensure that there is a valid authorization for the time period in question. Ensure that the authorization limitations are being followed correctly. If there is no authorization the agency will need to contact the Client's Payer to have them send Sandata this information.
Authorization Reference No. is Missing	Review the Client's profile to ensure that there is a valid authorization for the time period in question. Ensure that the authorization limitations are being followed correctly and contains an authorization reference number. If there is no authorization/ref # the agency will need to contact the Client's Payer to have them send Sandata this information.
Missing DOB	This information comes through your client feed from the Client'sPayer. Please reach out to the state at nvevv@dhcfp.nv.gov to have the DOB corrected and resent.
Missing Employee NPI	Access the Employee's profile and on the bottom of their Personal tab is a space to add in their NPI number.
Missing Primary Physician	Go to the Client's profile and access the Program Tab. On the right hand side there is the option for adding in the Primary Physician and their respective information.
Missing Proposed Times	Scheduling is optional for the NV program so this should not be a message that is seen. If this pops up please reach out to Sandata at (833) 545-0394 for further review.
Missing SOC	Go to the Client's profile and add a Start of Care (SOC) date on their Program tab. Make sure this is entered as the day this client started services with your agency.
No Amount Calculated	Review the Client's profile to ensure that there is a valid authorization for the time period in question. Ensure that the authorization limitations are being followed correctly. If there is a discrepancy on the visit vs. the auth this could cause no calculation to occur.
No Rate Defined for Service/Event Code	Ensure that the authorization matches the visits with the bill type and service and event code assigned to the client. If this matches, please reach out to Sandata at (833) 545-0394 for review.
Physician Missing NPI	Go to the Client's profile and click the Program Tab. On the right hand side there is the option for adding the Primary Physician and their information.
Primary Diagnosis is Missing	This information comes through with your client's authorizations. If a diagnosis code is missing, reach out to your Client's respective Payer to correct and resend.
Quantity is Zero	Review the Client's profile to ensure that there is a valid authorization for the time period in question. Ensure that the authorization limitations are being followed correctly. If there is a discrepancy on the visit vs. the auth this could cause no calculation to occur.
Unconfirmed Shift for This Day	Review Visit Maintenance for this date of service and this Client. Make sure that all visits performed on that given day have been verified. If the second visit does not need to be billed, mark the selection as do no bill.

As part of visit capture and submitting billing with Sandata Electronic Visit Verification (EVV), users have been enrolled in Change Healthcare Exchange ConnectCenter to be able to review their rejected or incomplete claims before correcting and resubmitting them in EVV for for payment.

As claims are processed in the system, they have a status assigned to them. This status lets you know if the claim is being processed successfully, or if it requires correcting.

Claims can have the following statuses:

Claim Status	Definition
Acknowledged	The claim was received by CHC.
Accepted	The claim is accepted for adjudication - it contains all the required information to send to the Payer.
CHC Rejected	The claim is not accepted for adjudication because it is missing something required, like the DOB or the Start of service time, or diagnosis code.
Payer Rejected	The information in the claim is wrong and it can't be processed. For example, the Payer doesn’t have a Client with that name in their files.
Denied	All or part of the claim was denied and there will be a reason provided.
Request for Information	There is inadequate information provided to process the claim. Information about what is required is provided.
Pended	A claim is pended when the Payer needs additional information to make a coverage decision. For example, the Payer may have questions about alternative coverage if they believe they are not the Client’s primary payer.
Unknown	The Payer status of the claim is unknown.

Use the links below to watch training recordings for the following topics:

¹Click here to download the slides.

²Click here to download the slides.

³Click here to download the slides.

⁴Click here to download the slides.