MedicaidReimbursementMedium impact
Annual Rate Adjustment for Provider Type 17 (Special Clinics), Specialty 180 (Rural Health Clinics)
Nevada Medicaid·NV · Family Medicine, General Practice·Reimbursement
Effective date
Oct 1, 2024
We identified it
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.
Action Required
No 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. Billing 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.