MedicaidReimbursementMedium impact
Attention Provider Type 63 (Psychiatric Residential Treatment Facilities (PRTFs)): Update Regarding PRTF Rates
Nevada Medicaid·NV · Psychiatry·Provider Enrollment
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid is awaiting CMS approval for new PRTF reimbursement rates: a flat $800 rate with potential $150 add-on for intensive services. The change was supposed to be effective January 1, 2025, but is pending approval, with claims reprocessing planned once approved.
Action Required
Monitor Nevada Medicaid website for Web Announcements regarding CMS approval of PRTF rate changes. Once approved, expect automatic claims reprocessing from January 1, 2025. PRTF providers should consider submitting Rate Appeals to DHCFP if current rates are insufficient, including required documentation of costs and methodology for requested relief.