MedicaidCoverageMedium impact
Recipient Eligibility Expanded for Pregnant Women
Nevada Medicaid·NV · OB-GYN, Family Medicine, General Practice·Provider Announcement
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has expanded eligibility for pregnant women by increasing the income standard to 200% of the Federal Poverty Level, effective July 1, 2025. A new aid code CH4P has been created in the Medicaid Management Information System to reflect this expanded eligibility for pregnant women.
Action Required
By July 1, 2025: Billing team must update systems to recognize new Nevada Medicaid aid code CH4P for pregnant women with expanded eligibility. Verify patient eligibility using updated income thresholds (200% FPL) and ensure claims processing accommodates the new aid code to avoid payment delays.