MedicaidAdministrativeHigh impact
Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): Submittals With Excluded Individuals or Entities Will Deny
Nevada Medicaid·NV · Orthopedics·Provider Enrollment
Effective date
Apr 11, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid now requires DME providers to verify that all employees and entities are not on the federal Exclusion List before submitting reimbursement requests. Claims involving excluded individuals or entities will be automatically denied.
Action Required
Immediately: DME providers must verify all employees against the federal Exclusion List at 42 CFR 1001.1901 before submitting any Nevada Medicaid claims. Establish ongoing monitoring process to check exclusion status regularly. Claims involving excluded individuals or entities will be denied.