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Nevada MedicaidMedicaid · Reimbursement · Reimbursement · NV · Family Medicine, General PracticeMedium impact

Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)

Effective date
Oct 1, 2024
Identified
Jun 21, 2026

Summary

Nevada Medicaid has implemented FFY 2025 rate increases for Rural Health Clinics (Provider Type 17, Specialty 180) using the Medicare Economic Index, effective October 1, 2024. Claims for encounter code T1015 with service dates on or after October 1, 2024 will be automatically reprocessed to pay the higher FFY 2025 rates.

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What to do

Action · 2 steps
01No immediate action required - Nevada Medicaid will automatically reprocess claims for T1015 with dates of service October 1, 2024 and later to pay FFY 2025 rates.
02Billing team should monitor future remittance advice for reprocessed claims and be prepared to appeal any claims that may be denied during reprocessing due to system edits.

Codes mentioned

T1015

Original notice

Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
medicaid.nv.gov · Always check the source before changing claims.
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Related changes

See all Nevada Medicaid changes →
Attention Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Centers): Procedure Code T1015 Closed for BillingHighEffective Oct 26, 2026 · Billing & CodingAttention Provider Types 17 (Special Clinics) Specialty 181 (Federally Qualified Health Center) and 47 (Tribal Health Clinics): End-Date of CDT D1999, Tentatively Effective January 1, 2027HighEffective Jan 1, 2027 · Provider AnnouncementAnnual Rate Adjustment for Provider Type 17 (Special Clinics) Specialty 180 (Rural Health Clinics)MediumEffective Oct 1, 2026 · ReimbursementIndian Health Program Rates Adjusted for Calendar Year 2025LowEffective Jan 1, 2025 · Provider AnnouncementBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesFamily MedicineGeneral PracticeCode T1015

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