MedicaidBilling CodesMedium impact
Attention Provider Type 90 (Doula Services): Rate Increase Approved for Doula Services (Updated August 26, 2025)
Nevada Medicaid·NV · OB-GYN·Reimbursement
Effective date
Oct 1, 2023
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has approved rate increases for doula services (Provider Type 90) effective October 1, 2023. However, there's a critical modifier change: the TN modifier is no longer used as of this August 26, 2025 update, and providers should reference Web Announcement 3704 for current guidance.
Action Required
Immediately: Stop using the TN modifier for doula services in Nevada Medicaid. Review Web Announcement 3704 for current modifier requirements. Billing team must verify current modifier usage for CPT codes 59409, 59514, 59612, 59620, and S9445 when billing Provider Type 90 doula services. Update billing system rules to reflect discontinued TN modifier usage.