MedicaidAdministrativeHigh impact
Attention Provider Types 11 (Hospital, Inpatient) and 13 (Psychiatric Hospital, Inpatient): Critical Incident/Serious Occurrence Reporting Requirements
Nevada Medicaid·NV · Psychiatry·Provider Announcement
Effective date
Sep 9, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid now requires hospitals (Provider Types 11 and 13) to report critical incidents involving children with behavioral health disabilities within one business day to multiple state agencies. This includes deaths, serious injuries, suicide attempts, and abuse allegations for children in the 'Focus Population' as part of a Department of Justice settlement agreement.
Action Required
Immediately: Hospital billing and clinical staff must establish new reporting workflows to notify Nevada Medicaid (BehavioralHealth@nvha.nv.gov), state licensing agencies, and Child Protective Services within one business day of any critical incidents involving children with behavioral health disabilities. Document all notifications in patient records including case numbers. For deaths, also notify CMS regional office within one business day. Failure to report may result in compliance violations and potential settlement agreement breaches.