MedicaidAdministrativeMedium impact
Attention Provider Type 36 (Chiropractor): Service Age Restrictions Added in the Medicaid Management Information System (MMIS)
Nevada Medicaid·NV · Chiropractic·Provider Enrollment
Effective date
Jun 8, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has added age restriction enforcement to their billing system (MMIS) for chiropractic services, effective June 8, 2026. While the policy hasn't changed, the system will now automatically enforce the existing rule that chiropractic services are limited to Medicaid-eligible children under 21 years of age.
Action Required
By June 8, 2026: Billing team must verify that all chiropractic service claims for Nevada Medicaid patients are for beneficiaries under 21 years of age before submission. Update billing procedures to include age verification step for Provider Type 36 (Chiropractor) claims. Claims for patients 21 and older will be automatically denied by the MMIS system.