Nevada billing rules 2026.06.18-current

Nevada Medicaid doula billing rules

Nevada Medicaid doula billing uses per-visit rates starting at $100.

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Rules are tied to payer sources.

Free tools avoid client details.

Denial pages use the same state billing sources.

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Short answer

Nevada Medicaid doula billing uses per-visit rates starting at $100.

Next step

Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose a state Check what is neededUse the checklist to sort setup, visit notes, codes, and payer details.Open checklist Keep client work privateUse planning tools without client identifiers. Keep private details in approved records.Open worksheet

Nevada Medicaid doula billing rules

Nevada Medicaid doula billing uses per-visit rates starting at $100.

Per-visit model

Patient education, individual, per session: $100 with modifier U1

Doula support at vaginal delivery: $900 with modifier U1

Prior authorization is needed after 4 sessions.

What to check before billing

Bill Provider Type 90 doula services with modifier U1.
S9445 is limited to four visits without prior authorization.
Do not append TN after 2025-08-25.

This page is built from checked state billing sources.

Public tools are for general checks. Keep client details in your own records.

Launch status and setup

Nevada is marked active. Check setup before claim work.

Launch status

active

Active: state tools are ready for general planning.

Billing portal

Nevada Medicaid Provider Web Portal / EVS DDE

Confirm Nevada Medicaid Provider Web Portal / EVS DDE access and provider enrollment before packet work.
Keep Nevada Medicaid provider ID / NPI in private records only.
Never enter Nevada Medicaid recipient ID, names, dates of birth, or visit notes into public tools.

Free state tools

Pick the tool that matches the question you have now.

Provider setup

Enrollment and billing profile checklist.

Packet worksheet

Plan the packet.

Claim checker

Packet review checklist.

Rate calculator

Payment model explainer.

Visit note checklist

Visit note checklist.

Denial pages

State-specific denial reasons.

Denied claim help

Review common denial reasons and the next step to check.

Read the Nevada denial reasons guide

Education visit cap exceeded

Obtain prior authorization before billing additional S9445 visits.

Common questions

Plain answers about Nevada Medicaid doula billing.

Does Nevada Medicaid cover doula services?

Yes. Nevada Medicaid doula services - Provider Type 90 covers doula services. Coverage still depends on the client's active eligibility, the service date, provider setup, and documentation.

How much does Nevada Medicaid pay doulas?

Nevada pays per visit — Patient education, individual, per session: $100; Doula support at vaginal delivery: $900. Use the Nevada rate calculator to check current amounts against official sources.

What documentation does Nevada require for doula claims?

Nevada expects 3 visit-note items before a packet is ready, including: Bill Provider Type 90 doula services with modifier U1. See the Nevada visit-note checklist for the full list.