MedicaidAdministrativeHigh impact
Attention Providers: New Nevada Medicaid Enrollment Requirements for Individuals Participating with Managed Care Entities
Nevada Medicaid·NV·Provider Enrollment
Effective date
Sep 12, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid now requires individual providers working under facilities or clinics who were previously exempt to enroll directly with Nevada Medicaid to participate with Managed Care Entities. Providers must submit enrollment applications through Provider Flex by October 31, 2025, or they cannot continue providing services to Medicaid MCE members.
Action Required
By October 31, 2025: Individual providers working under facilities or clinics who were previously exempt from Nevada Medicaid enrollment must submit an Initial or OPR enrollment application through Provider Flex. Billing team should identify affected providers and ensure applications are submitted. Failure to enroll will prevent providers from serving Medicaid MCE members and affect credentialing eligibility with Verisys.