MedicaidAdministrativeMedium impact
Attention Provider Type 17 (Special Clinics) Specialty 174 (Public Health Clinic): Update Regarding Claims for Education and Training
Nevada Medicaid·NV · General Practice, Family Medicine·Provider Enrollment
Effective date
May 19, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid now allows Public Health Clinics (Provider Type 17, Specialty 174) to submit claims for patient education and training codes 98960-98962 without automatic suspension, effective May 19, 2025. Previously suspended claims dating back to June 2022 have been released for reprocessing.
Action Required
Immediately: Public Health Clinics in Nevada should resubmit any previously denied claims for CPT codes 98960, 98961, and 98962 with dates of service from June 13, 2022 forward that were suspended with error code 853. Monitor for potential new denials during reprocessing and prepare to appeal if necessary following Medicaid Services Manual Chapter 100 guidelines.