MedicaidPrior AuthMedium impact
Attention Provider Type 93 (Substance Use Treatment): Substance Use Treatment Procedure Codes H0011, H0018, and H0019 Open for Billing
Nevada Medicaid·NV · Psychiatry·Billing & Coding
Effective date
Jul 31, 2024
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has opened billing for three substance use treatment procedure codes (H0011, H0018, H0019) for provider type 93 with specialties 704 and 707, effective July 31, 2024. These services require prior authorization and are limited to once per day per recipient.
Action Required
Immediately: Substance use treatment providers (type 93, specialties 704/707) in Nevada must obtain prior authorization before billing H0011, H0018, and H0019. Update billing system to enforce once-per-day limit per recipient for these codes. Previously suspended claims from December 10, 2024 will be automatically reprocessed within 2 business days - monitor remittance advice for results and appeal any denials if warranted.