MedicaidPrior AuthMedium impact
Attention Provider Type 22 (Dentist): Medicaid Management Information System (MMIS) Updated to Match Dental Policy Prior Authorization Requirements
Nevada Medicaid·NV · Dentistry, Oral & Maxillofacial Surgery·Prior Authorization
Effective date
Mar 31, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their system to require prior authorization for specific dental procedure codes including laminate labial veneers (D2960, D2961, D2962) and bone graft procedures (21210, 21215). These prior auth requirements were missing from the system but are now enforced effective March 31, 2025.
Action Required
Immediately: Billing team must update system to require prior authorization for codes D2960, D2961, D2962, 21210, and 21215 for Nevada Medicaid patients. Update encounter forms and notify providers that prior auth is now required for laminate labial veneers and bone graft procedures. Claims without prior authorization will be denied.