Inpatient Hospitals and RTC's

• Revenue Codes and Rates
  • May 27, 2009
  • Sept 8, 2008
  • Jul 1, 2007

Outpatient Hospital -- For Modifiers, see “Nevada Medicaid Modifier Listing” under Professional Rates. Also, see Modifier “Link” at the top of the document. Please refer to the appropriate Medicaid policy to fully determine coverage as well as any coverage limitations. Medicaid policy takes precedence over any code and rate listed here for a particular provider type.

The information contained on the website is made available to provide information and is not a guarantee by the State or the Department or its employees as to the present accuracy of the information contained herein. For example, coverage as well as an actual rate may have been revised or updated and may no longer be the same as posted on the website.

• Provider Type 12 Outpatient Hospital

2012 New Codes Status Update

• 2012 New Codes status update
• 2012 New Codes
• 2012 New Codes PT 10 & 46

Outpatient Surgery

• ASC Payment Groups and Procedures Jan-Jul 2011

Professional Rates -- Please refer to the appropriate Medicaid policy to fully determine coverage as well as any coverage limitations. Also, see Modifier “Link” at the top of the document. Medicaid policy takes precedence over any code and rate listed here for a particular provider type. Generally, rates listed are the maximum allowable for a code.

The information contained on the website is made available to provide information and is not a guarantee by the State or the Department or its employees as to the present accuracy of the information contained herein. For example, coverage as well as an actual rate may have been revised or updated and may no longer be the same as posted on the website.

• Anesthesiology Unit Values
• Nevada Medicaid Modifier Listing
• Provider Type 14 Behavioral Health
• Provider Type 16 Intermediate Care Facility for the Mentally Retarded(Public)
• Provider Type 17
  • Specialty 166, Special Clinic, Family Planning
  • Specialty 171, Special Clinic, Methadone
  • Specialty 174, Special Clinic, Public Health
  • Specialty 180/181, Special Clinic, FQHC/RHC, Federally Qualified Health Centers and Rural Health Clinics
  • Specialty 183, Special Clinic, Comprehensive Outpatient Rehab Facilities
  • Specialty 195, Special Clinic, Community Health Clinics - State Health Division
  • Specialty 196, Special Clinic, Early Intervention
  • Specialty 198, Special Clinic, HIV
• Provider Type 20 Physician, MD., Osteopath
• Provider Type 21 Podiatrists
• Provider Type 22 Dental Jan-Jul, 2011
• Provider Type 22 Dental - Post Budget Red 11-8-11
• Provider Type 23 Hearing Aid Dispenser & Related Supplies
• Provider Type 24 Certified Nurse Practitioner
• Provider Type 25 Optometrist
• Provider Type 26 Psychologist
• Provider Type 27 Radiology & Noninvasive Diagnostic Centers
• Provider Type 29 Home Health Agency
• Provider Type 30 Personal Care Aide - Provider Agency
• Provider Type 32 Ambulance, Air or Ground
• Provider Type 33 Durable medical Equipment, Prosthetics, Orthotics & Supplies (Jan-Jul 2011)
• Provider Type 33 Durable Medical Equipment, Prosthetics, Orthotics & Supplies (Post Budget Red.)
• Provider Type 34 Therapy, Physical, Occupational, Respiratory, Speech Pathologist
• Provider Type 35 Non Emergency Transportation
• Provider Type 36 Chiropractor
• Provider Type 37 Intravenous Therapy (TPN)
• Provider Type 38 Home and Community Based Waiver Mental Retardation Services
• Provider Type 39 Adult Day Health Care
• Provider Type 41 Optician, Optical Business
• Provider Type 43 Laboratory, Pathology Clinical
• Provider Type 45 End Stage Renal Disease Facility
• Provider Type 48 Home and Community Based Waiver for the Frail Elderly
• Provider Type 49 IHS Travel Rates (Tribal)
• Provider Type 55 Comprehensive Outpatient Rehabilitation
• Provider Type 57 Adult Group Care Waiver
• Provider Type 58 Physically Disabled Waiver (WIN)
• Provider Type 59 Facility Based Affordable Assisted Living Waiver
• Provider Type 60 School Based Child Health Services
• Provider Type 64 Hospice Services
• Provider Type 68 Intermediate Care Facility for the Mentally Retarded(Private)
• Provider Type 72 Nurse Anesthetist
• Provider Type 74 Nurse Midwife
• Provider Type 76 Audiologist
• Provider Type 77 Physician's Assistant
• Provider Type 82 Behavioral Health
• Provider Type 83 Personal Care Aid - Intermediary Service Organization
• Provider Type 84 Personal Care Aid - Independent Contractor
   

Nursing Facility Rates (PDFs)

>--April 2012 Nursing Facility Rates--< In State Free Standing NF Rates Schedule OOS Nursing Facility April 1 Rates April 1 Consolidation JCase Mix Worksheet
>--January 2012 Nursing Facility Rates--< In State Free Standing NF Rates Schedule OOS Nursing Facility January 1 Rates January 1 Consolidation JCase Mix Worksheet
>--October 2011 Nursing Facility Rates--< In State Free Standing NF Rates Schedule OOS Nursing Facility October 1 Rates October 1 Consolidation JCase Mix Worksheet
>--August 2011 Nursing Facility Rates--< In State Free Standing NF Rates Schedule OOS Nursing Facility August 1 Rates August 1 Consolidation
>--July 2011 Nursing Facility Rates--< In State Free Standing NF Rates Schedule OOS Nursing Facility July 1 Rates July 1 Consolidation JCase Mix Worksheet
>--April 2011 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Out-of-State Free Standing NF Rates Schedule
>--March 2011 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Out-of-State Free Standing NF Rates Schedule
>--January 2011 Nursing Facility Rates--< Out-of-State Free Standing NF Rates Schedule
>--October 2010 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Rates Calculation Worksheet Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule
>--July 2010 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule Rates Calculation Worksheet
>--April 2010 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule Rates Calculation Worksheet
>--January 2010 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule Rates Calculation Worksheet
>--October 2009 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule Rates Calculation Worksheet
>--July 2009 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule Rates Calculation Worksheet
>--April 2009 Nursing Facility Rates--< In State Free Standing NF Rates Schedule Rates Calculation Worksheet Rate Adjustments Case Mix Worksheet (Applied Current Quarter) Out-of-State Free Standing NF Rates Schedule
>--- Historical Rate Calculation Worksheets ---< January 2009 October 2008 July 2008 April 2008 January 2008 October 2007 July 2007 April 2007 January 2007 October 2006 July 2006 April 2006 October 2005 July 2005 April 2005 January 2005 October 2004 July 2004 April 2004 January 2004 October 2003 July 2003

Katie Beckett Allowable Costs

Annual Physician Rate Reports (NRS 232.354)

• Malkiewich ltr SB278 Sec. 16 (1-31-12)
• SB278 2012 Facility - Non Facility Report (1-26-12)
• SB278 2012 Laboratory Report Final (1-26-12)
• SB278 2012 Durable Medical Equipment Report (1-26-12)

Cost Containment and Supplemental Payment Program Page