MedicaidReimbursementMedium impact
Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Update Regarding Acute Hospital Rates
Nevada Medicaid·NV · Psychiatry·Provider Enrollment
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is proposing to change psychiatric hospital inpatient reimbursement from current cost-negotiated rates to a flat $944 per diem rate for private hospitals, pending CMS approval. The change would be retroactive to January 1, 2025, with claims reprocessing once approved.
Action Required
For Provider Type 13 (Psychiatric Hospital, Inpatient) facilities only: Monitor Nevada Medicaid web announcements for CMS approval status. Once approved, expect automatic claims reprocessing from January 1, 2025 forward. Consider submitting a Rate Appeal to Nevada Medicaid Administrator if current $944 per diem rate is insufficient, following the detailed appeal process outlined in the policy.