MedicaidAdministrativeMedium impact
Attention Provider Type 29 (Home Health Agency): Updates to Billing Requirements
Nevada Medicaid·NV·Billing & Coding
Effective date
Mar 17, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has eliminated the requirement for Home Health Agency providers (PT 29) to manually enter urban/rural codes (500 or 400) on claims. The system will now automatically assign urban or rural indicators based on the recipient's zip code to ensure proper billing and payment.
Action Required
Immediately: Home Health Agency billing teams must stop entering codes 500 or 400 on Nevada Medicaid claims to indicate urban/rural residence. Update billing software and staff training to remove this step from claim submission workflow. Review PT 29 Billing Guide for updated instructions.