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MedicaidReimbursementMedium impact

Indian Health Program Rates Adjusted for Calendar Year 2026

Nevada Medicaid·NV · Family Medicine, General Practice, Internal Medicine +1 more·Provider Announcement
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has adjusted reimbursement rates for Indian Health Program providers effective January 1, 2026, affecting specific preventive care and assessment codes. Claims with dates of service from January 1-April 6, 2026 that paid at old rates will be automatically reprocessed at the new rates.

Action Required

Action needed
For Indian Health Program providers only: Monitor future remittance advice for reprocessed claims with dates of service January 1-April 6, 2026 for codes T1015, T1502, 99381-99385, 99391-99395, and revenue codes 0100 and 0510. New claims with these codes will automatically pay at updated rates. Review any new denials from reprocessed claims and appeal if necessary per Medicaid Services Manual Chapter 100.

Affected Billing Codes

T1015
T1502
99381
99382
99383
99384
99385
99391
99392
99393
99394
99395