MedicaidPrior AuthMedium impact
Attention Provider Type 34 (Therapy): Prior Authorization Requirements Removed for Children Three Years Old and Younger
Nevada Medicaid·NV · Physical Therapy, Occupational Therapy, Speech Therapy·Prior Authorization
Effective date
May 27, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has eliminated prior authorization requirements for all therapy services (Provider Type 34) when treating children age 3 and younger, effective May 27, 2026. Claims previously denied for missing prior auth will be automatically reprocessed.
Action Required
Effective May 27, 2026: Billing team must update Nevada Medicaid billing procedures to remove prior authorization requirements for all Provider Type 34 (Therapy) services when treating patients 3 years old and younger. Update billing system rules and staff training materials. Monitor future remittance advice for automatically reprocessed claims that were previously denied for missing prior auth.