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Nevada MedicaidMedicaid · Reimbursement · Reimbursement · NV · PsychiatryHigh impact

Attention Behavioral Health Outpatient Providers: Rate Updates Effective January 1, 2025

Act
immediately
Effective date
Jan 1, 2025
Identified
Jun 21, 2026

Summary

Nevada Medicaid increased reimbursement rates for behavioral health services effective January 1, 2025, with 10% base rate increases for most psychotherapy and rehabilitation codes, plus additional rural and home service bonuses. Claims with incorrect payments will be automatically reprocessed.

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What to do

immediately · 3 steps
01Billing team must verify that Nevada Medicaid claims for behavioral health codes are receiving the correct increased rates (10% base increase plus rural/home bonuses where applicable).
02Use Place of Service Code 12 for home services to ensure proper 5% home service rate increase.
03Monitor for automatic reprocessing of previously paid claims and address any new denials that may result from reprocessing edits.

Codes mentioned

90785907919079290833908369083890832908349083790839908409084690847908499085390845H2014H2017H2019S9482H0038

Original notice

Attention Behavioral Health Outpatient Providers: Rate Updates Effective January 1, 2025
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Nevada Medicaid changes →
Attention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment), and 93 (Substance Use Treatment): Substance Use Treatment and Behavioral Health Procedure Codes Available for Billing (Updated)HighEffective Jul 1, 2024 · Billing & CodingAttention Provider Type 14 (Behavioral Health Outpatient Treatment): Error Codes 5649, 5690 and 5691 UpdatedHighEffective Nov 18, 2024 · Provider EnrollmentAttention Provider Types 14 (Behavioral Health Outpatient Treatment) and 26 (Psychologist): Procedure Code H0038 Closed for Billing Effective February 26, 2027HighEffective Feb 26, 2027 · Billing & CodingAttention Provider Types 20 (Physician, M.D., Osteopath, D.O.) 24 (Advanced Practice Registered Nurses) and 77 (Physician’s Assistant): Procedure Code 90846 Open for BillingMediumEffective Dec 2, 2024 · Billing & CodingBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesPsychiatryCode 90785Code 90791Code 90792Code 90833Code 90836Code 90838Code 90832Code 90834Code 90837Code 90839Code 90840Code 90846Code 90847Code 90849Code 90853Code 90845Code H2014Code H2017Code H2019Code S9482Code H0038

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