MedicaidPrior AuthMedium impact
Attention Providers Submitting Prior Authorizations for Physician Administered Drugs: GatewayPA Rendering Provider Selection Update
Nevada Medicaid·NV·Provider Announcement
Effective date
May 12, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated GatewayPA prior authorization requirements for physician-administered drugs. Providers must now carefully select the correct rendering provider during prior authorization submission and ensure it exactly matches the provider listed on the actual claim.
Action Required
Immediately: Billing team and providers must verify rendering provider selection when submitting prior authorizations for physician-administered drugs through GatewayPA.com. If facility or group will be the rendering provider on the claim, select 'Yes' to the alternative servicing provider question. Ensure rendering provider on prior authorization exactly matches the rendering provider on the submitted claim to avoid delays or denials.