MedicaidReimbursementMedium impact
Attention Provider Types 44 (Swing-Bed, Acute Hospital) and 75 (Critical Access Hospital, Inpatient): Provider-Specific Rates Established
Nevada Medicaid·NV·Provider Announcement
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has established new provider-specific reimbursement rates for Critical Access Hospitals (Provider Types 44 and 75) that equal actual service costs, as required by Nevada Senate Bill 241. Claims with dates of service from January 1, 2024 onward that paid incorrect rates will be automatically reprocessed.
Action Required
No immediate action required - Nevada Medicaid will automatically reprocess affected claims from Provider Types 44 (Swing-Bed, Acute Hospital) and 75 (Critical Access Hospital, Inpatient) with dates of service on or after January 1, 2024. Monitor future remittance advice for reprocessing results and be prepared to appeal any claims denied during reprocessing using procedures in Medicaid Services Manual Chapter 100.