MedicaidAdministrativeMedium impact
Attention All Providers: Update to Physician-Administered Drug (PAD) Claims Pricing Process
Nevada Medicaid·NV·Pharmacy
Effective date
Jul 30, 2024
We identified it
Jun 21, 2026
Summary
Effective July 30, 2024, Nevada Medicaid will now price and process physician-administered drug (PAD) claims directly through their MMIS system instead of through Magellan. Providers can now adjust PAD claims themselves, but specialty drugs still require prior authorization through Magellan.
Action Required
Effective July 30, 2024: Nevada providers billing physician-administered drugs must direct all PAD claim questions to Nevada Medicaid at (877) 638-3472 instead of Magellan. Update billing team contact procedures for PAD claim issues. Continue using Magellan Rx portal for specialty drug prior authorizations.