MedicaidAdministrativeMedium impact
Medicaid Management Information System Updated with NCCI Quarter 3 2026 Files
Nevada Medicaid·NV·Billing & Coding
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated their system with new NCCI Quarter 3 2026 files that include updated Medically Unlikely Edits (MUE) and Procedure-to-Procedure (PTP) edits. These updates will affect claim processing for Nevada Medicaid patients and may result in new code combination restrictions or service limitations.
Action Required
By July 1, 2026: Billing team must review current Nevada Medicaid claims for potential NCCI edit conflicts and ensure correct modifier combinations are being used for procedure codes. Monitor claim rejections starting July 1st for new NCCI edit denials and adjust billing practices accordingly. Reference the CMS NCCI website for specific edit details.