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Nevada MedicaidMedicaid · Prior Auth · Billing & Coding · NV · PsychiatryMedium impact

Attention Provider Type 93 (Substance Use Treatment): Substance Use Treatment Procedure Codes H0011, H0018, and H0019 Open for Billing

Act
immediately
Effective date
Jul 31, 2024
Identified
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.

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What to do

immediately · 3 steps
01Substance use treatment providers (type 93, specialties 704/707) in Nevada must obtain prior authorization before billing H0011, H0018, and H0019.
02Update billing system to enforce once-per-day limit per recipient for these codes.
03Previously 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.

Codes mentioned

H0011H0018H0019

Original notice

Attention Provider Type 93 (Substance Use Treatment): Substance Use Treatment Procedure Codes H0011, H0018, and H0019 Open for Billing
medicaid.nv.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Nevada Medicaid changes →
Further Clarification of Certain Billing Procedures for Substance Use Treatment ServicesHighEffective Sep 11, 2026 · Billing & CodingAttention Provider Type 93 (Substance Use Treatment): New Residential Substance Use Disorder (SUD) Bundled Rates for Level 3 Providers (Updated January 23, 2025)MediumNo effective date · Provider EnrollmentAttention Provider Types 14 (Behavioral Health Outpatient Treatment), 82 (Behavioral Health Rehabilitative Treatment), and 93 (Substance Use Treatment): Substance Use Treatment and Behavioral Health Procedure Codes Available for Billing (Updated)HighEffective Jul 1, 2024 · Billing & CodingBrowse every Nevada Medicaid change in the policy list

Related policy hubs

Nevada Medicaid policiesNV policy changesPsychiatryCode H0011Code H0018Code H0019

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