MedicaidReimbursementHigh impact
Attention Behavioral Health Outpatient Providers: Rate Updates Effective January 1, 2025
Nevada Medicaid·NV · Psychiatry·Reimbursement
Effective date
Jan 1, 2025
We identified it
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.
Action Required
Immediately: Billing 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). Use Place of Service Code 12 for home services to ensure proper 5% home service rate increase. Monitor for automatic reprocessing of previously paid claims and address any new denials that may result from reprocessing edits.