MedicaidCoverageMedium impact
Recipient Eligibility Expanded for Postpartum Care Services
Nevada Medicaid·NV · OB-GYN, Family Medicine, Pediatrics·Provider Announcement
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has expanded postpartum care eligibility to include recipients with income up to 200% above the Federal Poverty Level for 12 months following birth. A new aid code CH4G has been implemented to reflect this expanded eligibility for postpartum services.
Action Required
Immediately: Billing team must update patient eligibility verification procedures to recognize new aid code CH4G for Nevada Medicaid postpartum patients. Verify eligibility for all postpartum patients up to 12 months post-delivery using the expanded income threshold of 200% FPL. Update billing system to accept CH4G aid code for postpartum care claims.