MedicaidAdministrativeMedium impact
Attention All Providers: Clinical Records Procurement for Encounter Data Validation
Nevada Medicaid·NV·Provider Announcement
Effective date
May 12, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is conducting a required Encounter Data Validation Study through their External Quality Review Organization (HSAG). All providers must comply with requests from Managed Care Entities to provide clinical records documentation for specified Medicaid recipients at no cost within specified timeframes.
Action Required
Immediately: All staff must comply with clinical records requests from Nevada Medicaid Managed Care Entities (MCEs) for the Encounter Data Validation Study. Provide requested medical records promptly within specified timeframes at no cost to the practice. Ensure records are complete and readily accessible for quick turnaround when requests are received.