MedicaidAdministrativeMedium impact
Medicaid Services Manual Chapter 1200 Updated
Nevada Medicaid·NV·Provider Announcement
Effective date
Mar 3, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated Chapter 1200 of their Services Manual covering prescribed drugs, effective March 3, 2025. The changes are based on Drug Utilization Review Board recommendations but specific billing impacts are not detailed in this announcement.
Action Required
Immediately: Billing team should review the updated MSM Chapter 1200 at https://dhcfp.nv.gov/Resources/AdminSupport/Manuals/MSM/C1200/Chapter1200/ to identify specific changes to prescription drug coverage, prior authorization requirements, or billing procedures that may affect claims processing for Nevada Medicaid patients.