MedicaidAdministrativeMedium impact
Update to Nevada Fee-For-Service Medicaid and Nevada Check Up NCPDP D.0 Payer Specifications
Nevada Medicaid·NV · Pharmacy, Family Medicine, Internal Medicine +1 more·Provider Announcement
Effective date
Jun 24, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid now requires a Place of Service field (307-C7) for vaccine claims for patients 19 and older, with specific codes for pharmacy (01) versus off-site (99) administration. This does not apply to current COVID-19 vaccines.
Action Required
Immediately: Billing team must update Nevada Medicaid vaccine claims to include Place of Service field (307-C7) in NCPDP D.0 submissions. Use code '01' for pharmacy-administered vaccines and '99' for off-site administration for patients 19 and older. Update billing software to require this field for applicable vaccine claims. Claims without this field may be rejected.