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Attention Provider Types 11 (Hospital, Inpatient) and 75 (Critical Access Hospital): Long-Acting Reversible Contraception Devices Services Will Be Opened for Billing
Effective date
Not stated in the notice
Identified
Jun 21, 2026
Summary
Nevada hospitals (inpatient and critical access) can now bill LARC (long-acting reversible contraception) services separately from per diem rates under Fee-for-Service Medicaid. These services must be billed as outpatient claims and can occur concurrently with inpatient stays.
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What to do
Action · 3 steps
01Wait for future web announcement: Nevada hospitals (PT 11 and 75) should prepare billing systems to handle LARC services as outpatient claims (PT 12) with concurrent inpatient stays.
02Ensure NDC submission capability for J-codes and prior authorization workflow for codes 11981 and 11983 when service limits are exceeded.
03A future announcement will specify when billing can begin.
Codes mentioned
5830058301119811198211983J7296J7297J7298J7300J7301J7307
Original notice
Attention Provider Types 11 (Hospital, Inpatient) and 75 (Critical Access Hospital): Long-Acting Reversible Contraception Devices Services Will Be Opened for Billing
medicaid.nv.gov · Always check the source before changing claims.
Related changes
See all Nevada Medicaid changes →Attention Provider Type 17 Specialties 180 (Rural Health Clinics) and 181 (Federally Qualified Health Centers): Long-Acting Reversible Contraception (LARC) Devices Services AvailableMediumEffective Jan 1, 2024 · Provider EnrollmentAttention Provider Types 11 (Hospital, Inpatient) and 75 (Critical Access Hospital): Long-Acting Reversible Contraception Devices Services Now Open For BillingMediumEffective Mar 31, 2025 · Billing & CodingAttention Provider Type 17 (Special Clinics) Specialty 182 (Indian Health Services (IHS), Urban Indian Organizations): Long-Acting Reversible Contraception (LARC) Devices Services AvailableLowEffective Jan 1, 2024 · Provider EnrollmentAttention Provider Type 17 (Special Clinics) Specialties 180 (Rural Health Clinics), 181 (Federally Qualified Health Centers), and 182 (Indian Health Services, Urban Indian Organizations): Long-Acting Reversible Contraception (LARC) UpdatesHighEffective Mar 18, 2025 · Provider EnrollmentBrowse every Nevada Medicaid change in the policy list