MedicaidCoverageMedium impact
Medicaid Services Manual Chapters Updated
Nevada Medicaid·NV · Psychiatry, Family Medicine, General Practice +3 more·Provider Announcement
Effective date
Aug 4, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated four chapters of their Services Manual affecting mental health services, physician services, prescribed drugs, and peer support services. Key changes include corrections to diabetic supply references, antibiotic coverage updates, physician-administered drug revisions, and reorganization of peer support services into a new dedicated chapter.
Action Required
By August 4, 2025: Nevada Medicaid providers should review updated MSM chapters, particularly Chapter 1200 for prescribed drug changes including antibiotic coverage criteria and physician-administered drug updates. Billing teams must verify current coverage requirements for third-generation cephalosporins now require provider attestation and updated exception criteria for severe penicillin allergies. Mental health providers should note peer support services moved to new Chapter 4300.