MedicaidReimbursementMedium impact
Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 4 Rate Updates Implemented
Nevada Medicaid·NV · Geriatrics, Palliative Care·Reimbursement
Effective date
Apr 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid implemented updated reimbursement rates for nursing facilities and hospice/long-term care providers effective April 1, 2025. Claims with service dates on or after April 1st will automatically be reprocessed with the new rates if they were paid at previous rates.
Action Required
Monitor future remittance advices for automatically reprocessed claims with dates of service on or after April 1, 2025. Be prepared to appeal any denied claims that result from reprocessing. Review Medicaid Services Manual Chapter 100 and Billing Manual for appeal processes and timeframes.