MedicaidAdministrativeMedium impact
Pregnancy Presumptive Eligibility Documents Updated
Nevada Medicaid·NV · OB-GYN, Family Medicine·Provider Announcement
Effective date
May 15, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated Pregnancy Presumptive Eligibility documents with immediate effect. Laboratories and Rural Emergency Hospitals can now render services to presumptively eligible pregnant patients, additional lab codes are covered, and administrative requirements have been updated including retention timeframes and application assistance percentages.
Action Required
Immediately: Discontinue use of previous Pregnancy Presumptive Eligibility documents and download updated versions dated 05/15/2026 from Nevada Medicaid Provider Portal. Billing team must update systems to allow Labs (PT 43) and Rural Emergency Hospitals (PT 96) to bill for presumptively eligible pregnant patients. Update retention procedures to keep records for 37 months after closure date. Prior versions of addendum will not be accepted and claims may be impacted.