MedicaidAdministrativeMedium impact
Attention Provider Type 90 (Doula): Updates to Billing Requirements for Rural Members
Nevada Medicaid·NV · OB-GYN·Billing & Coding
Effective date
Aug 25, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has eliminated the requirement for doula providers (Type 90) to use Modifier TN when billing for rural members. The system will now automatically assign urban or rural indicators based on the member's residential zip code.
Action Required
Immediately: Doula providers (Type 90) in Nevada must stop using Modifier TN on claims for rural members. Update billing software to remove TN modifier requirement for Nevada Medicaid doula claims. Review and update the PT 90 Billing Guide documentation.