MedicaidCoverageMedium impact
Medicaid Services Manual Chapters Updated
Nevada Medicaid·NV · Psychiatry, Family Medicine, OB-GYN +3 more·Provider Announcement
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated multiple service manual chapters affecting mental health services, physician services, prescribed drugs, therapy services, and crisis services. Key changes include new coverage for cell-free fetal DNA testing, removal of prior authorization for speech therapy for stuttering in patients under 26, and updates to drug prior authorization guidelines.
Action Required
By January 1, 2026: Nevada providers must update billing systems to include coverage for cell-free fetal DNA testing under physician services. Speech therapy billing staff should remove prior authorization requirements for fluency disorder treatment in patients under 26. Pharmacy and oncology billing teams must review updated prior authorization guidelines for specialty drugs including Abraxane, Opdivo, Darzalex, and other oncology medications listed in Chapter 1200.