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MedicaidReimbursementMedium impact

Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 3 Rate Updates Implemented

Nevada Medicaid·NV · Geriatrics, Palliative Care·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid implemented new reimbursement rates for nursing facilities and hospice/long-term care providers effective January 1, 2025. Claims with service dates on or after this date may be automatically reprocessed with updated rates.

Action Required

Action needed
Immediately: Monitor future remittance advice for reprocessed claims with dates of service January 1, 2025 and after. Be prepared for potential claim denials during reprocessing and review appeal procedures in Medicaid Services Manual Chapter 100 if needed. This applies only to Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care).