MedicaidCoverageMedium impact
Medicaid Services Manual Chapters Updated
Nevada Medicaid·NV · Emergency Medicine, Psychiatry, Pharmacy·Provider Announcement
Effective date
Sep 9, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated two manual chapters: psychiatric assessments during emergency department observation are now separately billable before inpatient psychiatric admission, and several prescription drug coverage requirements were moved and updated including lowering Valtoco age requirement from 6 to 2 years old.
Action Required
Immediately: Nevada providers should review updated MSM Chapters 200 and 1200 on the Nevada Health Authority website. Emergency department billing staff must update procedures to bill psychiatric assessments separately during observation periods before psychiatric admission. Pharmacy and prescription billing staff should note updated Valtoco age requirements and relocated coverage sections in drug formulary.