MedicaidDocumentationMedium impact
Attention All Providers: Clinical Records Procurement for Encounter Data Validation
Nevada Medicaid·NV·Provider Announcement
Effective date
Apr 17, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid's External Quality Review Organization (HSAG) is conducting an Encounter Data Validation Study that requires providers to promptly supply clinical records for specified Medicaid recipients at no cost when requested by Managed Care Entities. This is a mandatory compliance requirement under existing Provider Participation Agreements.
Action Required
Immediately: All Nevada Medicaid providers must prepare to respond promptly to clinical records requests from Managed Care Entities (MCEs) for the Encounter Data Validation Study. Ensure medical records department is aware they must provide requested documentation within MCE-specified timeframes at no cost. Non-compliance violates Provider Participation Agreement requirements.