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Federal Consent for Sterilization (Form HHS-687) Updates and Requirements

Nevada Medicaid·NV · OB-GYN, General Surgery, Urology·Provider Announcement
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has updated Federal Consent for Sterilization Form HHS-687 effective July 2025. Providers must immediately discontinue use of previous form versions, as claims submitted with expired forms will be denied.

Action Required

Action needed
Immediately: Download and begin using the updated Form HHS-687 from the Nevada Medicaid Providers Forms webpage (FA-56) or HHS website. Billing team must ensure all sterilization procedure claims use the current form version only. Monitor form expiration dates in the top-right corner and check HHS website regularly for updates. Claims with expired forms will be denied.