MedicaidPrior AuthHigh impact
Attention All Nursing Facilities: Ventilator Dependent Level of Care (LOC) Authorizations Are Limited to 180 Days from the Date the LOC was Approved
Nevada Medicaid·NV · Pulmonology, Critical Care, Geriatrics·Provider Announcement
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is now limiting all Ventilator Dependent Level of Care (LOC) authorizations to 180 days from approval date. Providers must renew authorizations with updated LOC screening and documentation before expiration, as expired authorizations will not default to standard nursing facility coverage.
Action Required
Before each authorization expires: Nursing facilities must submit renewal requests with updated LOC screening and supporting documentation for all Ventilator Dependent Level of Care authorizations. Track all authorization expiration dates (180 days from approval for authorizations approved after July 1, 2025). Failure to renew before expiration will result in loss of coverage with no automatic default to standard nursing facility benefits.