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MedicaidPrior AuthLow impact

Attention Provider Type 17 (Special Clinics) Specialty 188 (Certified Community Behavioral Health Centers): Prior Authorization Requirements Updated

Nevada Medicaid·NV · Psychiatry·Prior Authorization
Effective date
Nov 10, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has updated their system so that codes shadow billed by Certified Community Behavioral Health Centers (provider type 17, specialty 188) no longer require prior authorization. This is a system correction that removes prior auth requirements for these specific providers.

Action Required

Action needed
No action required for most practices. This change only affects Certified Community Behavioral Health Centers (provider type 17, specialty 188) in Nevada who can now shadow bill codes without prior authorization.