MedicaidReimbursementMedium impact
Attention Behavioral Health Outpatient Providers: Update on the Reprocessing Effort for Claims That Paid Incorrect Rates
Nevada Medicaid·NV · Psychiatry·Provider Announcement
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is automatically reprocessing behavioral health claims with incorrect rates for services from January 1, 2025 forward. Corrected payments will appear on June 5, 2026 remittance advice, though some claims may be denied due to clinical edits during reprocessing.
Action Required
By June 5, 2026: Review remittance advice for reprocessed behavioral health claims to verify correct payment amounts. If claims are denied during reprocessing, follow standard appeal procedures per Medicaid Services Manual Chapter 100. No immediate action required as reprocessing is automatic.