MedicaidPrior AuthMedium impact
Attention Provider Type 33 (Durable Medical Equipment, Disposable, Prosthetics): Modifier RR is No Longer Required on Claims or Prior Authorization for Temporary Rental of Equipment for Recipient-Owned Item Being Repaired
Nevada Medicaid·NV · Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab) +1 more·Prior Authorization
Effective date
Sep 2, 2026
We identified it
Sep 3, 2026
Summary
Nevada Medicaid no longer requires modifier RR on claims or prior authorization requests for HCPCS code K0462 (temporary replacement equipment rentals during repairs). This simplifies billing for durable medical equipment providers when recipient-owned items are being repaired. All other requirements in Web Announcement 650 remain in effect.
Action Required
Effective immediately (September 2, 2026): Billing team must update all systems to remove the modifier RR requirement from HCPCS code K0462 submissions to Nevada Medicaid. Remove RR from prior authorization templates, claim submission rules, and provider documentation forms related to temporary equipment rentals. Providers should be notified that modifier RR is no longer appended to K0462 claims. Verify that billing software does not reject K0462 claims without modifier RR. Review any standing prior authorization templates for K0462 to remove RR requirements. No claims should be reprocessed retroactively unless denied specifically for missing RR modifier.