MedicaidReimbursementMedium impact
Attention Provider Type 13 (Psychiatric Hospital, Inpatient): Acute Hospital Rate Updates Implemented
Nevada Medicaid·NV · Psychiatry·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid updated reimbursement rates for inpatient psychiatric hospitals (Provider Type 13) to match regular hospital psychiatric service rates, effective January 1, 2025. The policy affects 16 specific revenue codes for room and board services, and qualifying claims will be automatically reprocessed for higher payments.
Action Required
Immediately: Nevada Provider Type 13 psychiatric hospitals should monitor future remittance advice for automatically reprocessed claims with dates of service on or after January 1, 2025. Billing team must be prepared to appeal any claims that may be denied during reprocessing due to system edits. Review Medicaid Services Manual Chapter 100 for appeal procedures if needed.