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Attention Electronic Visit Verification (EVV) Providers: Claims That Do Not Match EVV Visit Data Will Deny Beginning February 1, 2027
Act
by Feb 1, 2027
Effective date
Feb 1, 2027
Identified
Nov 4, 2026
Summary
Starting February 1, 2027, Nevada Medicaid will deny claims from home health, personal care services, and waiver providers that do not match verified visit data in electronic visit verification (EVV) systems. Currently these mismatches generate informational error codes only; the practice must ensure all claim details align with EVV system records to avoid future denials.
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What to do
by Feb 1, 2027 · 6 steps
01Billing team must implement a process to reconcile all claims against EVV system visit data before submission.
02For each claim, verify that the provider ID, member ID, procedure code, date of service, and units of service match the corresponding visit record in the EVV system or Alternative EVV system.
03Audit current remittance advices for error codes 3802, 3806, 3807, 3808, 3809, and 3810 to identify any existing mismatches in pending or recently submitted claims.
04Tell providers and front desk staff to confirm visit details are entered accurately and consistently in both the EVV system and charge entry at the time of service.
05Update charge entry workflows to require cross-verification with EVV records before claim submission.
06Beginning February 1, 2027, claims that do not match EVV visit data will deny with one or more of these error codes and will not be paid.
Original notice
Attention Electronic Visit Verification (EVV) Providers: Claims That Do Not Match EVV Visit Data Will Deny Beginning February 1, 2027
medicaid.nv.gov · Always check the source before changing claims.