MedicaidAdministrativeLow impact
Attention All Providers: Updates Regarding Urgent/Emergency Group and Individual Enrollment Types
Nevada Medicaid·NV · Geriatrics, Palliative Care·Provider Enrollment
Effective date
Sep 15, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated which provider types can enroll as Urgent/Emergency Group or Individual providers. Most long-term care and home-based service providers (including hospice, home health, and HCBS waiver providers) are now restricted from urgent/emergency enrollment, while nursing facilities and private intellectual disability facilities can still enroll as urgent/emergency groups.
Action Required
Immediately: Nevada Medicaid providers should verify their enrollment type in Provider Flex system matches the updated eligibility requirements. Long-term care facilities, hospice providers, home health agencies, and HCBS waiver providers must ensure they are not enrolled as Urgent/Emergency types, as this may affect claim processing and reimbursement.