Penguin Health
Nevada · Medicaid Services Manual · Applied behavior analysis
Nevada requires a daily progress note. Chapter 3700 says what goes in it.
Nevada covers ABA under Medicaid Services Manual chapter 3700, and its documentation section is built around a daily progress note: the individual named, the place of service, the actual beginning and ending times, the provider's name, credentials, and signature, and the amount, scope, frequency, and duration of the service, plus parent or guardian presence when the service is delivered at home. The matching rule set lives in the rules library in the Penguin Health app.
The ABA chapter of the Medicaid Services Manual.
A progress note for each date of service.
Actual beginning and ending times, not scheduled ones.
Parent or guardian presence is documented.
The manual
What chapter 3700 requires
The chapter's documentation standard runs per service date: a progress note that identifies the individual, places the service, times it to the minute, credentials the renderer, and sizes the service delivered. Home-based delivery carries one extra element: the parent or guardian in the room.
- The individual receiving the services, a group setting indicated when the service was delivered in one, and the place of service.
- The date and the actual beginning and ending times of the service.
- The name, credentials, and signature of the provider who delivered the service.
- The amount, scope, frequency, and duration of the services.
- Parent or guardian presence during home-delivered services, documented in the note.
- Assessment and treatment are prior-authorized with defined request packets.
The checklist
What a Nevada ABA note has to show
Each item below names its manual chapter and the Penguin rule that checks it. Nevada sets no note-completion deadline in chapter 3700, so none is claimed.
| The note shows | What that means in practice | Source | Rule |
|---|---|---|---|
| The individual named, with group settings indicated | Who received the service, and whether in a group. | MSM 3700 | NV-1 |
| The place of service matching the billing | Where, agreeing with the claim. | MSM 3700 | NV-2 |
| Date and actual beginning and ending times matching the billing | Actual times, not scheduled ones, agreeing with the claim. | MSM 3700 | NV-3 |
| Provider name, credentials, and signature | The renderer, credentialed and signed. | MSM 3700 | NV-4 |
| The amount, scope, frequency, and duration of the service | How much of what was delivered. | MSM 3700 | NV-5 |
| Parent or guardian presence for home-based services | Documented whenever the service is delivered at home. | MSM 3700 | NV-6 |
In the rules library
Six Nevada rules, ready to turn on
Open the rules library in the Penguin Health app, choose Nevada Medicaid ABA, and click Add to organization. Rules your organization already has are left alone, so adding the set twice only fills gaps. After adding, edit any rule or add your own alongside them.
Each rule runs only on notes billed to Nevada Medicaid payers. Penguin checks the CentralReach payer name, so a Nevada rule never fires on a commercial note in the same organization, and an organization whose payer names differ edits that match after adding the set.
Penguin reads signed session notes from CentralReach, read-only, after signature and before the claim, and runs the set on every note. Deterministic rules compare record fields. AI rules are read by the AI, which returns a pass or fail with a one-sentence reason.
Six rules for Nevada MSM chapter 3700: the daily progress-note elements including actual times and credentials, service scope, and parent presence for home-based services.
- reviewed
- Nov 6, 2026
- runs on
- Notes billed to Nevada Medicaid payers
- sources
- Nevada Medicaid Services Manual ch. 3700 (ABA), effective Apr 1, 2024
- watching
- The chapter 3700 PDF and its chapter page on the new Nevada Medicaid portal
Every failure ships with QA guidance for that program code: an educational email, numbered action steps, and a QA email pre-filled with the date of service and a link to the note. Each reviewer action is written to a write-once audit log with seven-year retention. Billing Medicaid in more than one state? The rules library covers twenty-nine, including Idaho and Washington.
Maintained by Penguin
We watch the manual so the rules never go stale
Nevada moved its manual to a new Medicaid web portal in November 2026, which is exactly when source links rot. The Nevada set is tied to the chapter text, and the watcher followed the document through the move.
The chapter 3700 PDF and its chapter page on the new portal. Penguin fetches the sources on a schedule and archives every revision.
We rewrite the affected rule, cite the document that changed it, and date the review. The set shows its sources and review date in the library.
An updated rule runs in the next scheduled validation and on demand against notes you have already reviewed, so a changed requirement shows you exactly which past notes it touches.
- The current chapter edition takes effect
The daily progress-note standard, prior-authorization packets, and home-based parent-presence requirement.
LibraryNV-1 through NV-6 are built against this edition.
- The manual moves to the new portal, and the set is reviewed
The watcher caught the move. Same April 2024 edition at a new address, re-checked against the chapter text. Current.
- WatchingThe next chapter revision
When the chapter is reissued, the set is updated and every organization using it gets the change.
State alerts
Get an email when Nevada changes its documentation rules
We fingerprint 56 official payer documents every week, Nevada's among them. When one changes, a person verifies what changed and writes a short plain-language summary before anything is sent. A few emails a year, not a newsletter. Unsubscribe anytime.
Check your inbox: confirm your email and you are on the list.
You will get a confirmation email first. Watching more than one state? Pick your states here.
Next step
Run a month of Nevada notes through Penguin
Bring one month of session notes. We add the Nevada set from the rules library, run it, show every finding beside the source it maps to, and hand your QA lead the fix for each one. Or get a demo account and click through Penguin on your own time first.