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Attention Provider Types 24 (Advanced Practice Registered Nurses), 60 (School Health Services), 74 (Nurse Midwife), and 77 (Physician’s Assistant): Updates to Procedure Code H2011
Act
immediately
Effective date
Dec 15, 2025
Identified
Jun 21, 2026
Summary
Nevada Medicaid has corrected payment issues for procedure code H2011 with HT modifier for Advanced Practice Registered Nurses, Nurse Midwives, and Physician's Assistants. Claims from July 1, 2024 forward will be automatically reprocessed at the correct rate, and the 3 dates per 90 days limit has been removed for School Health Services.
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What to do
immediately · 3 steps
01Nevada Medicaid providers (APRNs, Nurse Midwives, Physician's Assistants, School Health Services) should monitor future remittance advice for automatically reprocessed H2011 claims with HT modifier dating back to July 1, 2024.
02School Health Services can now bill H2011 without the previous 3 dates per 90 days restriction, but 4 hours per day limit still applies.
03Review any denied reprocessed claims for potential appeals per Medicaid Services Manual Chapter 100.
Codes mentioned
H2011
Original notice
Attention Provider Types 24 (Advanced Practice Registered Nurses), 60 (School Health Services), 74 (Nurse Midwife), and 77 (Physician’s Assistant): Updates to Procedure Code H2011
medicaid.nv.gov · Always check the source before changing claims.
Related changes
See all Nevada Medicaid changes →Attention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 93 (Substance Use Treatment) Linked to a Provider Type 93 Group: Behavioral Health Services Codes Open For BillingHighEffective Jul 1, 2024 · Billing & CodingCrisis Intervention Service Claims That Denied With Error Code 5695 Have Been ReprocessedMediumEffective Apr 23, 2025 · Provider AnnouncementAttention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 93 (Substance Use Treatment): Prior Authorization Updates to Behavioral Health CodesMediumEffective Aug 1, 2025 · Prior AuthorizationAttention Provider Types 24 (Advanced Practice Registered Nurse), 74 (Nurse Midwife), and 77 (Physician’s Assistant): Claims Have Been Reprocessed to Pay Updated RatesMediumEffective Jan 1, 2024 · Provider AnnouncementBrowse every Nevada Medicaid change in the policy list