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Rate Updates Implemented for Procedure Codes H0035 and H2012
Effective date
Jul 1, 2025
Identified
Jun 21, 2026
Summary
Nevada Medicaid has implemented rate increases for procedure codes H0035 (Mental Health Partial Hospitalization Treatment) and H2012 (Behavioral Health Day Treatment) effective July 1, 2025. Eligible claims will be automatically reprocessed at the higher rates with results appearing on future remittance advice.
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What to do
Action · 2 steps
01No immediate action required: Nevada Medicaid will automatically reprocess eligible claims for H0035 and H2012 with dates of service on or after July 1, 2025.
02Billing team should monitor future remittance advice for reprocessed claim results and be prepared to appeal any claims that may be denied during reprocessing due to clinical edits.
Codes mentioned
H0035H2012
Original notice
Rate Updates Implemented for Procedure Codes H0035 and H2012
medicaid.nv.gov · Always check the source before changing claims.
Related changes
See all Nevada Medicaid changes →Further Clarification of Certain Billing Procedures for Substance Use Treatment ServicesHighEffective Sep 11, 2026 · Billing & CodingAttention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 93 (Substance Use Treatment) Linked to a Provider Type 93 Group: Behavioral Health Services Codes Open For BillingHighEffective Jul 1, 2024 · Billing & CodingAttention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment) and 93 (Substance Use Treatment): Prior Authorization Updates to Behavioral Health CodesMediumEffective Aug 1, 2025 · Prior AuthorizationBrowse every Nevada Medicaid change in the policy list