MedicaidReimbursementMedium impact
Attention Provider Type 19 (Nursing Facility) and 65 (Hospice, Long Term Care): State Fiscal Year 2025 Quarter 1 Rate Updates Implemented
Nevada Medicaid·NV · Geriatrics, Palliative Care·Reimbursement
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has implemented State Fiscal Year 2025 Quarter 1 rate updates for nursing facilities and hospice/long-term care providers, effective July 1, 2024. Claims with service dates on or after this date may be automatically reprocessed with the new rates, and providers will receive updated remittance advice showing any payment adjustments.
Action Required
Monitor upcoming remittance advice for automatically reprocessed claims with dates of service on or after July 1, 2024. Be prepared for potential claim denials during reprocessing due to system edits, and prepare to appeal any inappropriately denied claims using the process outlined in Medicaid Services Manual Chapter 100 within required timeframes.