MedicaidReimbursementMedium impact
Attention Provider Type 34 (Therapy) Specialty 28 (Occupational Therapy): 10% Rate Increase Implemented for Occupational Therapy Services
Nevada Medicaid·NV · Occupational Therapy·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has implemented a 10% rate increase for occupational therapy services (Provider Type 34, Specialty 28), effective January 1, 2025. Additional 5% rate add-ons apply for rural areas and youth 20 and under with SED diagnosis when services are provided in the home. Claims with service dates on or after January 1, 2025 will be automatically reprocessed for updated reimbursement rates.
Action Required
No immediate action required for billing team. Nevada Medicaid will automatically reprocess claims with dates of service on or after January 1, 2025 to apply the updated rates. Monitor future remittance advice for reprocessed claim results and be prepared to appeal any claims that may be denied during reprocessing.