MedicaidAdministrativeHigh impact
Attention Electronic Visit Verification (EVV) Providers: Updates Regarding EVV Claims Submissions
Nevada Medicaid·NV · Occupational Therapy, Physical Therapy·Provider Announcement
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Summary
Starting April 1, 2026, Electronic Visit Verification (EVV) claims for home health and personal care services will no longer route through Optum and must be submitted directly to payers using new payer IDs. Providers using alternate EVV systems must update their billing workflows with the new payer IDs, while Sandata users will have changes made automatically.
Action Required
By April 1, 2026: Providers using alternate EVV systems (not Sandata) must work with billing vendors to update workflows with new payer IDs: NVMED for Nevada Medicaid FFS, MLNNV for Molina, 76342 for UHC, 000265 for Anthem BCBS, and 68069 for Silver Summit. Complete Trading Partner Enrollment if not already done. Sandata users need no action for claim submission but should authorize Sandata to receive 835 files. Claims will no longer be visible through Optum Connect Center after the change.