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MedicaidAdministrativeMedium impact

Updated Presumptive Eligibility (PE) Application Available

Nevada Medicaid·NV·Provider Announcement
Effective date
May 16, 2026
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has updated their Presumptive Eligibility (PE) application forms 2990-EM (English) and 2990-EM/S (Spanish) with reorganized sections and updated language. Providers must begin using the new forms dated 04/26 and destroy all previous versions.

Action Required

Action needed
By May 16, 2026: Front desk staff must replace all current PE application forms with the updated versions (Form 2990-EM English and Form 2990-EM/S Spanish) dated 04/26. Download new forms from Division of Social Services website Applications and Forms section. Destroy and remove all previous PE application versions from circulation to ensure compliance with Nevada Medicaid requirements.