Rate Analysis & Development


Medicaid Rate Reviews

In 2017, the Nevada Legislature passed Assembly Bill 108. Beginning in 2018, this bill mandates the State of Nevada Division of Health Care Financing and Policy (DHCFP) complete a comprehensive rate review for each provider type at least every four years. These reviews may or may not result in changes to reimbursement amounts.

Methodology and Schedule of Reviews

DHCFP has established a quarterly schedule for completing rate reviews by provider type. During each quarter, surveys will be made available on this page for the designated providers. Completed surveys can be emailed to Rates@dhcfp.nv.gov or mailed to the address listed at the top of the survey. Various channels will be used to notify affected providers on a quarterly basis of the availability of surveys for selected provider types. These include email and fax blasts from DHCFP’s fiscal agent (DXC Technology), correspondence to provider associations, Web Announcements on the Provider Portal, and updated postings on the bottom of this webpage.  

Provider surveys will request information regarding the Customary Charges and Costs of Providing Service for each CPT/HCPCS/Revenue code allowed under the designated provider type. Providers should ensure that surveys are completed and submitted by the deadline listed on the survey. These surveys will help DHCFP determine if the current rate reimbursement rates paid to providers are appropriate.

Provider Rate Review Instructions and Surveys