MedicaidAdministrativeMedium impact
Physician-Administered Drug (PAD) Claims Denied With Error 909 Have Been Reprocessed
Nevada Medicaid·NV·Pharmacy
Effective date
Jun 14, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has automatically reprocessed Physician-Administered Drug (PAD) claims from July 30 and August 10, 2023 that were previously denied with error code 909 (No response from PBM). Results appear on remittance advice dated June 14 or June 21, 2024, though reprocessed claims may still result in denials or no additional payment.
Action Required
Immediately: Billing team should review remittance advice dated June 14, 2024 or June 21, 2024 to identify results of reprocessed PAD claims from July 30 and August 10, 2023. If claims are still denied after reprocessing, follow standard appeal process per Medicaid Services Manual Chapter 100 and Billing Manual within required timeframes.