MedicaidPrior AuthHigh impact
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
Nevada Medicaid·NV · Psychiatry·Billing & Coding
Effective date
Jul 1, 2024
We identified it
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.
Action Required
By April 2, 2025: Behavioral 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. After PA approval, providers have 60 days to submit claims with a copy of this web announcement or cover letter reference. Update billing system to automatically reprocess previously denied claims with error code 4801 for these codes.