MedicaidReimbursementLow impact
Indian Health Program Rates Adjusted for Calendar Year 2025
Nevada Medicaid·NV · Family Medicine, Internal Medicine, Pediatrics·Provider Announcement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has adjusted rates for Indian Health Program providers effective January 1, 2025, for specific preventive medicine and case management codes. Claims processed between January 1-February 24, 2025 may be automatically reprocessed at the new rates.
Action Required
No action required for most practices. This rate adjustment only affects Indian Health Program providers (IHS and Tribal facilities) in Nevada. These providers should monitor remittance advice for any reprocessed claims from January 1-February 24, 2025, and be prepared to appeal any claims denied during reprocessing.