MedicaidPrior AuthMedium impact
Attention All Behavioral Health Providers: Assessment Type Age Restrictions Removed from the Provider Web Portal for Prior Authorization Requests
Nevada Medicaid·NV · Psychiatry·Prior Authorization
Effective date
Feb 17, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has removed age restrictions from the Provider Web Portal's prior authorization submission form for behavioral health services, effective February 17, 2026. Providers must now manually ensure they select the correct assessment type (CALOCUS, LOCUS, or ECSII) based on patient age, as incorrect selections will result in PA denials.
Action Required
Immediately: Behavioral health providers and billing staff must update prior authorization workflows to manually verify correct assessment type selection in the Provider Web Portal based on patient age. Train staff on proper assessment type usage: CALOCUS for child/adolescent assessments, LOCUS for adult assessments, and ECSII for early childhood assessments. Implement quality checks before PA submission as incorrect assessment types will result in denials.