MedicaidReimbursementMedium impact
Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 2 Rate Updates Implemented
Nevada Medicaid·NV · Geriatrics, Palliative Care·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid implemented new SFY 2025 quarter 2 reimbursement rates for nursing facilities (Provider Types 19 and 65) effective October 1, 2024. Claims with service dates on or after October 1st that were paid at previous rates may be automatically reprocessed at the new rates.
Action Required
Monitor future remittance advice reports for automatically reprocessed claims with dates of service on or after October 1, 2024. Be prepared for potential claim denials during reprocessing due to system and clinical edits. Review any denied reprocessed claims and utilize appeal process per Medicaid Services Manual Chapter 100 if needed.