When does this change take effect?

This change is effective Mar 1, 2025.

MedicaidAdministrativeMedium impact

Medicaid Services Manual Chapters Updated

Q: Who is affected by this change?

This affects Nevada Medicaid Ophthalmology, Optometry, Occupational Therapy, Physical Therapy providers in NV on Medicaid plans.

Nevada Medicaid·NV · Ophthalmology, Optometry, Occupational Therapy +1 more·Provider Announcement

Effective date

Mar 1, 2025

We identified it

Jun 21, 2026

Days to comply

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Summary

Nevada Medicaid updated two manual chapters: Ocular Services (effective Feb 26, 2025) clarifying routine vs medical eye exams, and Home/Community Based Services (effective March 1, 2025) with expanded eligibility criteria and new provider requirements for day and residential habilitation services.

Action Required

Action needed

Nevada Medicaid providers: Review updated MSM Chapter 1100 for clarified routine vs medical eye exam billing requirements (effective Feb 26). For Chapter 1800 services, update documentation templates to meet new needs-based eligibility criteria, implement new serious occurrence reporting procedures, and ensure staff meet updated training requirements for Day/Residential Habilitation by March 1, 2025.

Related policy hubs

Nevada Medicaid policies NV policy changes Ophthalmology Optometry Occupational Therapy Physical Therapy