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Quarter 3 2026 New Code Update
Act
by Jun 30, 2026
Effective date
Jul 1, 2026
Identified
Jun 30, 2026
Summary
Nevada Medicaid has activated rates for new Quarter 3 2026 CPT, HCPCS, and ADA codes in their MMIS system. Effective July 1, 2026, claims using new codes will process without automatic suspension for missing rates. This update fulfills the previous announcement (Web Announcement 3945) by adding the actual reimbursement rates to the system.
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What to do
by Jun 30, 2026 · 4 steps
01Billing team must verify that all Nevada Medicaid claims submitted on or after July 1, 2026 will route through the updated MMIS system.
02Confirm with your billing software vendor that the system is configured to pull rates from the updated Nevada Medicaid MMIS.
03No manual workarounds or appeals should be needed for new codes after this date.
04Monitor the first week of claims (July 1-7, 2026) for any processing anomalies and report issues to Nevada Medicaid.
If missed: Failure to ensure system alignment could result in unnecessary claim suspensions and delayed reimbursement.
Original notice
Quarter 3 2026 New Code Update
medicaid.nv.gov · Always check the source before changing claims.
Related changes
See all Nevada Medicaid changes →Quarter 4 2026 New Code UpdateHighEffective Oct 1, 2026 · Provider AnnouncementQuarter 4 2026 New Code UpdateHighEffective Oct 1, 2026 · Provider Announcement2024 Annual New Code UpdateMediumEffective May 28, 2024 · Provider AnnouncementQuarter 3 2025 New Code UpdateMediumEffective Jul 1, 2025 · Provider AnnouncementBrowse every Nevada Medicaid change in the policy list