MedicaidAdministrativeMedium impact
Claims with Modifier JW That Denied in Error Have Been Reprocessed
Nevada Medicaid·NV·Billing & Coding
Effective date
Aug 21, 2026
We identified it
Aug 15, 2026
Summary
Nevada Medicaid has automatically reprocessed claims billed with Modifier JW (single-use drug wastage) that were incorrectly denied with error code 5074 between August 1, 2024, and June 15, 2026. Corrected results will appear on remittance advice dated August 21, 2026. Billing teams should review these reprocessed claims, note that additional denials may occur upon reprocessing, and be prepared to appeal if necessary.
Action Required
By August 21, 2026: Billing team must review the remittance advice for reprocessed claims and reconcile against original claims billed with Modifier JW between August 1, 2024, and June 15, 2026. Identify any claims that remain denied or received new denials upon reprocessing. For denied claims, document the denial reason and prepare appeals per Nevada Medicaid Services Manual Chapter 100 and Billing Manual procedures. Communicate with providers about potential claim status changes and appeal rights.