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MedicaidReimbursementMedium impact

Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2026 Quarter 4 Rate Updates Implemented

Nevada Medicaid·NV · Geriatrics, Palliative Care·Reimbursement
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid implemented new reimbursement rates for nursing facilities and hospice/long-term care providers effective April 1, 2026. Claims with service dates on or after this date that paid previous rates will be automatically reprocessed with the new SFY 2026 Q4 rates.

Action Required

Action needed
Monitor remittance advices for reprocessed claims with dates of service April 1, 2026 and later. Be prepared for potential claim denials during reprocessing as all system and clinical edits will apply. Review any denied reprocessed claims and file appeals within required timeframes per Medicaid Services Manual Chapter 100 if appropriate.