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