MedicaidBilling CodesHigh impact
Reminder for Provider Type 17 (Special Clinics) Specialty 181 (Federally Qualified Health Center): New Shadow Billing Requirements to be Implemented in January 2026
Nevada Medicaid·NV · Family Medicine, Internal Medicine, Psychiatry·Billing & Coding
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Starting January 1, 2026, Nevada Medicaid will require Federally Qualified Health Centers to include shadow billing codes when submitting medical encounter codes (G0466, G0467, G0468) and behavioral health encounter codes (G0469, G0470). Claims missing the required shadow codes will be denied with error code 6500.
Action Required
By January 1, 2026: FQHC billing teams must update billing systems to require shadow codes with all medical encounter claims (G0466, G0467, G0468) and behavioral health encounter claims (G0469, G0470). Download the FQHC shadow billing code list from the Nevada Medicaid FQHC webpage. Train staff that medical encounters require at least one qualified medical code as shadow billing, and behavioral health encounters require at least one qualified behavioral health code. Claims without required shadow codes will deny with error code 6500.