MedicaidCoverageMedium impact
Attention Provider Type 60 (School Health Services): Age Eligibility Updated to Under 21 Years of Age
Nevada Medicaid·NV · Pediatrics, Family Medicine·Provider Enrollment
Effective date
Apr 29, 2026
We identified it
Jun 21, 2026
Summary
Effective April 29, 2026, Nevada Medicaid has expanded age eligibility for School Health Services (Provider Type 60) from the previous age limit to students under 21 years of age. This applies to all services within the SHS program and will not result in automatic claims reprocessing.
Action Required
Before April 29, 2026: Billing team must update system eligibility checks for School Health Services (Provider Type 60) to accept students under 21 years of age instead of previous age limits. Update patient eligibility verification processes and staff training materials. Review and resubmit any previously denied claims for students who now meet the expanded age criteria.