MedicaidReimbursementMedium impact
Medicaid Behavioral Health Providers In Nevada Get Raise To Help Children
Nevada Medicaid·NV · Psychiatry, Pediatrics·Provider Announcement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid increased reimbursement rates for children's behavioral health services by up to 25%, with 10% base increase, additional 10% for rural areas, and 5% more for home-based services. Changes are retroactive to January 1, 2025 and affect services like psychotherapy, basic skill training, and psychosocial rehabilitation for youth under 21.
Action Required
Immediately: Billing team should verify that Nevada Medicaid and managed care plans are paying the increased rates (up to 25% higher) for pediatric behavioral health services retroactive to January 1, 2025. Review recent claims for underpayments and consider resubmitting claims from January 2025 forward if rates haven't been updated. Contact Nevada Medicaid or MCO plans if current reimbursement doesn't reflect the new rate structure.