MedicaidPrior AuthMedium impact
Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 25 (Optometrist) and 41 (Optician, Optical Business): Prior Authorization No Longer Required for Procedure Code V2784
Nevada Medicaid·NV · Ophthalmology, Optometry·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid no longer requires prior authorization for procedure code V2784 (polycarbonate corrective lenses) for physicians, optometrists, and optical businesses, effective January 1, 2024. Claims previously denied for lacking prior auth may be automatically reprocessed.
Action Required
Immediately: Billing team must update Nevada Medicaid billing rules to remove prior authorization requirement for V2784 (polycarbonate corrective lenses) for provider types 20, 25, and 41. Note that prior auth is still required when service limits are exceeded for recipients age 21 and older. Monitor future remittance advice for any automatically reprocessed claims from January 1, 2024 through September 2, 2024.