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Nevada MedicaidMedicaid · Administrative · Provider Announcement · NV · Psychiatry, Family Medicine, General PracticeMedium impact

Crisis Intervention Service Claims That Denied With Error Code 5695 Have Been Reprocessed

Act
immediately
Effective date
Apr 23, 2025
Identified
Jun 21, 2026

Summary

Nevada Medicaid has corrected error code 5695 that was incorrectly denying crisis intervention service claims (H2011) when providers had valid prior authorizations. Claims from April 2023 to January 2025 have been automatically reprocessed with results appearing on May 2, 2025 remittance advice.

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What to do

immediately · 3 steps
01Review May 2, 2025 remittance advice for reprocessed H2011 claims.
02Ensure each date of service for crisis intervention services is submitted on separate detail lines - do not span dates when billing H2011.
03Monitor for any new denials that may result from reprocessing and utilize appeal process if needed.

Codes mentioned

H2011

Original notice

Crisis Intervention Service Claims That Denied With Error Code 5695 Have Been Reprocessed
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Nevada Medicaid changes →
Attention 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 AuthorizationAttention Provider Types 24 (Advanced Practice Registered Nurses), 60 (School Health Services), 74 (Nurse Midwife), and 77 (Physician’s Assistant): Updates to Procedure Code H2011MediumEffective Dec 15, 2025 · Provider AnnouncementAttention Provider Types 24 (Advanced Practice Registered Nurse), 74 (Nurse Midwife), and 77 (Physician’s Assistant): Claims Have Been Reprocessed to Pay Updated RatesMediumEffective Jan 1, 2024 · Provider AnnouncementBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesPsychiatryFamily MedicineGeneral PracticeCode H2011

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