MedicaidAdministrativeMedium impact
Medicaid Management Information System Updated with NCCI Quarter 2 2026 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their system with new NCCI Quarter 2 2026 files containing updated Medically Unlikely Edits (MUE) and Procedure-to-Procedure (PTP) edits. These updates will automatically process claims and prevent improper payments when incorrect code combinations are reported or service limitations are exceeded.
Action Required
Before April 1, 2026: Billing team must review current Nevada Medicaid claims for potential NCCI edit conflicts and ensure all procedure codes are billed with correct modifier combinations and appropriate units of service. Reference the CMS NCCI website for specific edit details. Claims with incorrect code combinations or excessive units may be denied after the update.