MedicaidPrior AuthMedium impact
Attention Provider Type 33 (Durable Medical Equipment, Prosthetics, Orthotics and Supplies): New Form for Recipient Attestation for Continuing Use of Speech Generating Device (SGD)/Augmentative Communication Device (ACD)
Nevada Medicaid·NV · Speech Therapy, Neurology·Provider Enrollment
Effective date
May 1, 2024
We identified it
Jun 21, 2026
Summary
Effective May 1, 2024, Nevada Medicaid requires Durable Medical Equipment providers (Type 33) to submit a new form FA-1E (Recipient Attestation for Continuing Use) when requesting prior authorization for ongoing Speech Generating Device (SGD) or Augmentative Communication Device (ACD) use. This form captures recipient compliance and confirms appropriate equipment utilization.
Action Required
Immediately: Nevada DME providers must download form FA-1E from the Nevada Medicaid Providers Forms webpage under Prior Authorization Forms. Include completed FA-1E with all prior authorization requests for continuing SGD/ACD use. Form must document recipient compliance and appropriate equipment utilization. Prior authorization requests without this form may be denied.