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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 Billing
Act
by Apr 2, 2025
Effective date
Jul 1, 2024
Identified
Jun 21, 2026
Summary
Nevada Medicaid has opened several behavioral health HCPCS codes (H0001, H0015, H0035, H0038, H0047, H2011) for billing by specific provider types effective July 1, 2024. Providers have until April 2, 2025 to submit retroactive prior authorization requests for services already provided, followed by 60 days to submit claims with required documentation.
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What to do
by Apr 2, 2025 · 3 steps
01Behavioral health providers must submit retroactive prior authorization requests for H0001, H0015, H0035, H0038, H0047, and H2011 services provided from July 1, 2024 through March 3, 2025.
02After PA approval, providers have 60 days to submit claims with a copy of this web announcement or cover letter reference.
03Update billing system to automatically reprocess previously denied claims with error code 4801 for these codes.
Codes mentioned
H0001H0015H0035H0038H0047H2011
Original notice
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 Billing
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): Prior Authorization Updates to Behavioral Health CodesMediumEffective Aug 1, 2025 · Prior AuthorizationAttention Provider Types 14 (Behavioral Health Outpatient Treatment) and 26 (Psychologist): Procedure Code H0038 Closed for Billing Effective February 26, 2027HighEffective Feb 26, 2027 · Billing & CodingAttention Provider Types 14 (Behavioral Health Outpatient Treatment) and 82 (Behavioral Health Rehabilitative Treatment): Prior Authorization Requirement Updated for Procedure Code H0038MediumEffective Feb 26, 2025 · Prior AuthorizationBrowse every Nevada Medicaid change in the policy list