MedicaidPrior AuthMedium impact
Attention Outpatient Facilities: Physician’s Prior Authorization Can Be Used for Outpatient Claims Effective December 15, 2025
Nevada Medicaid·NV·Prior Authorization
Effective date
Dec 15, 2025
We identified it
Jun 21, 2026
Summary
Starting December 15, 2025, Nevada Medicaid outpatient facilities can use prior authorizations obtained by physicians for the same patient, service, and date of service. The physician must include the facility as the rendering provider when submitting the PA so both can view it in the Provider Web Portal.
Action Required
By December 15, 2025: Nevada outpatient facilities should coordinate with physicians to ensure PAs include the facility as rendering provider. Billing team must verify PA status in Provider Web Portal before submitting claims. Train staff on accessing Chapter 4 of PWP User Manual for PA status instructions.