MedicaidReimbursementMedium impact
Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Nevada Medicaid·NV · Family Medicine, General Practice·Reimbursement
Effective date
Oct 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has implemented federally mandated annual rate adjustments for Rural Health Clinics (Provider Type 17, Specialty 180) effective October 1, 2025. The adjusted rates apply to encounter code T1015 for all-inclusive clinic visits, with no automatic reprocessing of previous claims.
Action Required
No immediate action required as this is a go-forward rate change only. Rural Health Clinics in Nevada should verify that T1015 encounter code claims with dates of service on or after October 1, 2025 are processing at the new adjusted rates in the Nevada Medicaid system.