MedicaidPrior AuthMedium impact
Attention All Providers: New Expedited Prior Authorization Process Effective January 1, 2026
Nevada Medicaid·NV·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is implementing a new expedited prior authorization process effective January 1, 2026, allowing providers to request 72-hour PA decisions via email for urgent cases that could jeopardize patient health. This process requires emailing the PA number to a designated address without including any protected health information.
Action Required
By January 1, 2026: Billing team must establish workflow for expedited prior authorization requests by adding the email address NVExpeditedPA@gainwelltechnologies.com to billing procedures. Train staff to identify urgent cases meeting the expedited criteria (when standard timeframe could seriously jeopardize patient's life, health, or function) and send emails with only PA numbers - no PHI. Update prior auth tracking to monitor 72-hour expedited decisions.