MedicaidReimbursementMedium impact
Attention Provider Type 14 (Behavioral Health Outpatient Treatment): Rates for Procedure Codes 90847, 99406, and 99407 Have Been Corrected
Nevada Medicaid·NV · Psychiatry·Provider Enrollment
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid corrected reimbursement rates for three behavioral health procedure codes (90847, 99406, 99407) for specific provider specialties. Claims with dates of service from July 1, 2024 that were paid at incorrect rates will be automatically reprocessed.
Action Required
No immediate action required - claims will be automatically reprocessed. Monitor future remittance advice for reprocessed claim results and be prepared to appeal any claims that may be denied during reprocessing. Verify billing system reflects correct rates: CPT 90847 at $97.85, CPT 99406 at $12.46, and CPT 99407 at $24.32 for Nevada Medicaid behavioral health claims.