MedicaidReimbursementMedium impact
Rate Updates Implemented for Procedure Codes H0035 and H2012
Nevada Medicaid·NV · Psychiatry, Family Medicine, General Practice·Reimbursement
Effective date
Jul 1, 2025
We identified it
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.
Action Required
No immediate action required: Nevada Medicaid will automatically reprocess eligible claims for H0035 and H2012 with dates of service on or after July 1, 2025. Billing 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.