MedicaidAdministrativeMedium impact
Attention Provider Type 56 (Inpatient Rehabilitation and Long Term Acute Care (LTAC) Specialty Hospitals): Claims Will Suspend With Error Code 5051 or 5071
Nevada Medicaid·NV · PM&R (Physical Medicine & Rehab)·Provider Enrollment
Effective date
Apr 27, 2026
We identified it
Jun 21, 2026
Summary
Starting April 27, 2026, Nevada Medicaid will automatically suspend inpatient rehabilitation and LTAC hospital claims when conflicting outpatient or professional claims are submitted first for the same patient and date of service. The system will then void the conflicting claim and automatically reprocess the inpatient claim for payment.
Action Required
Before April 27, 2026: Billing teams at PT 56 facilities (Inpatient Rehabilitation and LTAC Specialty Hospitals) in Nevada must update workflows to expect temporary claim suspensions with error codes 5051 or 5071 when outpatient claims are submitted first. Train staff that suspended claims will automatically reprocess after the system voids conflicting claims - no manual intervention required. Monitor claims processing for these error codes and allow additional processing time.