MedicaidPrior AuthHigh impact
Attention All Nursing Facilities: Ventilator Dependent Level of Care (LOC) Authorizations Will Be Limited to 180 Days from the Date the LOC was Approved
Nevada Medicaid·NV · Critical Care, Pulmonology·Provider Announcement
Effective date
Jan 20, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is limiting all Ventilator Dependent Level of Care authorizations to 180 days maximum, effective January 20, 2026. Facilities must proactively renew authorizations before expiration with updated screening and documentation, as expired authorizations will not default to standard nursing facility level of care.
Action Required
Before January 20, 2026: Billing team must identify all Nevada Medicaid patients with Ventilator Dependent LOC authorizations and track expiration dates (180 days from approval). Create renewal workflow to submit updated LOC screening and supporting documentation before expiration. For authorizations approved before July 1, 2025, ensure renewals are completed before December 31, 2025. Failure to renew will result in loss of LOC authorization without default to standard nursing facility coverage.