MedicaidReimbursementMedium impact
Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Acute Hospital Rate for Private Psychiatric Hospitals Effective January 1, 2025
Nevada Medicaid·NV · Psychiatry·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has updated reimbursement rates for private psychiatric hospitals (Provider Type 13) to a flat $944 per diem rate, effective January 1, 2025. This brings their payment in line with general inpatient hospitals and affects 16 specific revenue codes for psychiatric, detoxification, and rehabilitation services. Claims will be automatically reprocessed for the new rate.
Action Required
No immediate action required: Nevada Medicaid will automatically reprocess claims with dates of service on or after January 1, 2025 for the listed revenue codes. Monitor future remittance advice for reprocessed claim results. Be prepared to appeal any claims that may be denied during reprocessing due to system edits.