MedicaidAdministrativeMedium impact
Attention All Providers: Reminder to Bill Usual and Customary Charges
Nevada Medicaid·NV·Provider Announcement
Effective date
Jan 2, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid reminds all providers to bill their usual and customary charges for procedures and services, not reduced or discounted rates. This reinforces existing billing requirements rather than introducing new changes.
Action Required
Immediately: Billing team must verify all Nevada Medicaid claims are billed at usual and customary charge amounts (posted rates charged to other payers), not discounted rates. Review billing system settings to ensure correct charge capture for Nevada Medicaid patients.