MedicaidReimbursementHigh impact
Nevada Private Hospital Assessment State Fiscal Year (SFY) 2027 Rate Levied
Nevada Medicaid·NV·Reimbursement
We identified it
Jul 18, 2026
Summary
Nevada has levied a 5.5% assessment on net patient revenue (less Medicare revenue) for inpatient and outpatient services provided by private hospitals in SFY 2027. Private hospitals must pay invoices from NVHA to enable corresponding Medicaid supplemental payments. Exact assessment percentages and payment amounts will be communicated in upcoming invoices.
Action Required
REQUIREMENTS:
- IMMEDIATELY: Accounting/Finance team must prepare for receipt of assessment invoices from NVHA in coming weeks. Do NOT wait for final invoice amounts.
- Upon receipt of NVHA invoice: Finance team must process payment promptly to avoid delays in corresponding Medicaid supplemental payments to the practice.
- Billing team: Monitor ProviderAssessments@nvha.nv.gov email and www.nevadamedicaid.nv.gov/programs/nevada-private-hospital-assessment-payment-program/ for final assessment rate details and invoice delivery.
- Before SFY 2027 begins (July 1, 2026): Update budget projections to account for 5.5% assessment on net inpatient and outpatient revenue less Medicare revenue. This impacts cash flow and net revenue calculations.
- Accounting: Classify this as a provider assessment liability/tax expense in financial records. Coordinate with state Medicaid office to ensure supplemental payment credits are applied correctly.
- Flag: Exact percentages and amounts are still pending in a future bulletin—do not finalize revenue projections until NVHA announces specific rates.