MedicaidReimbursementMedium impact
Attention Provider Types 24 (Advanced Practice Registered Nurse), 74 (Nurse Midwife), and 77 (Physician’s Assistant): Claims Have Been Reprocessed to Pay Updated Rates
Nevada Medicaid·NV · Family Medicine, OB-GYN, Internal Medicine·Provider Announcement
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has automatically reprocessed claims for Advanced Practice Registered Nurses (PT 24), Nurse Midwives (PT 74), and Physician's Assistants (PT 77) to pay updated rates. Claims with dates of service from January 1, 2024 through October 28, 2024, and crisis intervention services (H2011 with HT modifier) from July 1, 2024 through December 15, 2025 have been reprocessed with results appearing on March 20, 2026 remittance advice.
Action Required
By March 20, 2026: Billing team must review remittance advice dated March 20, 2026 for reprocessed claims involving provider types 24, 74, and 77. Verify additional payments received for claims with dates of service January 1, 2024 through October 28, 2024, and H2011 claims with HT modifier from July 1, 2024 through December 15, 2025. Appeal any inappropriately denied claims following Medicaid Services Manual Chapter 100 guidelines.