NV · guidance
Nev. Medicaid Provider Type 64 (Hospice) Billing Guide, Prior Authorization (PA)
Prior Authorization (PA)
Prior authorization is required for Hospice services and is based on medical necessity. The hospice agency will not be
reimbursed for hospice services until the PA has been approved. It is the responsibility of the hospice provider to ensure
that PA is approved for services unrelated to the hospice benefit. To request PA and upload required documents, please
use the Provider Web Portal.
Please note if the authorization request is submitted after admission, the Hospice provider is assuming responsibility for
program costs if the authorization request is denied. For recipients with Medicare and Medicaid coverage (dual
eligibility), prior authorization is not required until the Medicare benefit is exhausted.
Provenance
- Source
- www.medicaid.nv.gov
- Retrieved
- 2026-10-02
- Edition
- nv-pt64-2026-07-27
- Content hash
061000fef21b4cd2d0852df24d99bf2e7bc980d5e23181b73aab9157341c536b
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