Nevada Pauses Medicaid Enrollments for DMEPOS Providers
On April 16, 2026, the Nevada Health Authority (NHA) announced a temporary, statewide moratorium on enrolling new Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) providers in Nevada’s Medicaid program (Medicaid). While the NHA’s notice does not expressly address revalidation of previously enrolled DMEPOS providers, it describes the moratorium applying only to “the enrollment of new [DMEPOS] providers,” without effect on those currently enrolled in the program.
Providers of DMEPOS distribute a wide range of medical equipment, ranging from FDA-approved medical devices such as skin grafts used in wound care, pacemakers, and metal implants used in treating bone injuries, to CPAP machines used to treat sleep apnea and common mobility aids such as walkers and wheelchairs. To obtain payment for providing these products to patients, DMEPOS providers may be enrolled in Medicare and state Medicaid programs. The moratorium effectively means DMEPOS providers not already enrolled in Nevada’s Medicaid program will not receive payment for these products.
What’s Behind the Moratorium?
NHA’s announcement referenced the six-month moratorium on new Medicare enrollments for DMEPOS providers imposed by the United States Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS). NHA’s announcement stated that this action was taken “in continued alignment” with HHS and CMS, as “Nevada Medicaid is dedicated to eliminating fraud, protecting taxpayer dollars, and safeguarding the financial sustainability of our Medicaid program.”
The announcement also provides information about the NHA’s ongoing anti-fraud efforts and expected future actions to combat Medicaid fraud in Nevada. NHA identified this new enrollment moratorium as part of its ongoing collaboration with the five Managed Care Organizations (MCOs) that administer benefits for Nevada’s Medicaid program, drawing on Medicaid claims and payment data and the analytical resources of these MCOs to identify and combat fraud, waste, and abuse in this program. Additionally, this announcement identified NHA’s multi-disciplinary team, including the Nevada Medicaid Fraud Control Unit (MFCU), that works to promote and implement policies and requirements that “actively prevent” fraud, waste, and abuse, in addition to “exploring innovative technologies and updated payment models” to enhance NHA’s fraud detection and prevention.
How Long is the Moratorium?
NHA did not specify an end date for this moratorium, which will remain in effect until further notice. The NHA enrollment moratorium may be in effect for six months—the same length of time as the CMS moratorium—or it may run longer. We will provide updates as more information becomes available.