MedicaidPrior AuthLow impact
Attention Provider Types 89 (Community Health Worker) and 90 (Doula): Prior Authorization (PA) Requests Can Now Be Submitted through the Electronic Verification System (EVS) Tool
Nevada Medicaid·NV · Family Medicine, OB-GYN, General Practice·Prior Authorization
Effective date
Oct 14, 2024
We identified it
Jun 21, 2026
Summary
Effective October 14, 2024, Nevada Medicaid now allows Community Health Workers (Provider Type 89) and Doulas (Provider Type 90) to submit prior authorization requests through the Electronic Verification System (EVS) tool. This streamlines the PA process for these specific provider types in Nevada's Medicaid program.
Action Required
Immediately: If your practice employs Community Health Workers (PT 89) or Doulas (PT 90) billing Nevada Medicaid, train these providers on submitting prior authorizations through the EVS tool. Review Chapter 4 of the EVS User Manual for submission instructions and access PA forms on the Nevada Medicaid Forms page.