MedicaidReimbursementLow impact
Medicaid Services Manual Chapters Updated
Nevada Medicaid·NV · Pharmacy·Provider Announcement
Effective date
Feb 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated two service manual chapters: Chapter 500 transitions nursing facilities from RUG III to the Patient Driven Payment Model (PDPM) case-mix classification system, and Chapter 3000 changes pharmacy reimbursement for Tribal Health Clinics to allow one encounter per prescription filled without daily limits.
Action Required
No immediate action required for most practices. Nevada providers serving nursing facilities should review the PDPM case-mix classification requirements. Tribal Health Clinics should update billing processes to submit one encounter per prescription filled without daily prescription limits.